Individual
KATSIARYNA CHUPRASAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2487 CEDARCREST RD STE 714, ACWORTH, GA 30101
(678) 224-5730
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
063409
GA
Other
Enumeration date
05/08/2007
Last updated
10/16/2019
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