Individual
ERICA KUBASCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHARMD
Contact information
Practice address
1364 CLIFTON RD NE RM BG03, ATLANTA, GA 30322-1281
(404) 712-4686
Mailing address
1364 CLIFTON RD NE RM BG03, ATLANTA, GA 30322-1281
(404) 712-4686
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
15466
GA
Other
Enumeration date
04/05/2022
Last updated
07/05/2023
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