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Individual

DR. DOUGLAS BRIAN KASOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
771 OLD NORCROSS RD, SUITE 390, LAWRENCEVILLE, GA 30046-4386
(678) 957-0757
(678) 957-9597
Mailing address
900 CIRCLE 75 PKWY SE, SUITE 1700, ATLANTA, GA 30339-3035
(770) 953-6929
(770) 953-6972

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
52589
GA
207XS0117X
Orthopaedic Surgery of the Spine Physician
44116
CO

Other

Enumeration date
05/09/2006
Last updated
01/21/2021
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