Organization
GEORGIA MSO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL KOHN (OWNER)
(212) 734-6621
Entity
Organization
Contact information
Practice address
3343 PEACHTREE RD NE, STE 145 PMB 3034, ATLANTA, GA 30326
(212) 734-6621
Mailing address
4770 WHITE PLAINS RD, BRONX, NY 10470-1136
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
09/30/2025
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