Individual
PREETHY KURIAKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(706) 863-9595
(888) 745-3917
Mailing address
PO BOX 3726, AUGUSTA, GA 30914-3726
(706) 863-9595
(888) 745-3917
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7151
GA
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
03/04/2014
Last updated
10/28/2015
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