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Individual

DR. NATHAN ROBERT KUKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3650 J DEWEY GRAY CIR, AUGUSTA, GA 30909-1867
(706) 863-9797
(706) 860-7686
Mailing address
3650 J DEWEY GRAY CIR, AUGUSTA, GA 30909-1867
(068) 639-7977
(706) 860-7686

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
99362
GA
207XS0117X
Orthopaedic Surgery of the Spine Physician
99362
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/28/2018
Last updated
09/11/2024
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