Individual
NATALIYA KUBASOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
898 COLLEGE ST, MONTICELLO, GA 31064-1258
(706) 468-0988
(706) 468-6631
Mailing address
898 COLLEGE ST, MONTICELLO, GA 31064-1258
(706) 468-0988
(706) 468-6631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11016443
IN
Other
Enumeration date
06/18/2012
Last updated
09/01/2021
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