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Individual

DR. LOUIS JACK HERSKOWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1790 MULKEY RD, SUITE 1, AUSTELL, GA 30106-1122
(770) 941-1013
(770) 941-9418
Mailing address
835 COGBURN AVENUE NW, SUITE 250, MARIETTA, GA 30060-1031
(770) 422-8815
(770) 422-8816

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
020546
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D29820
PIN
GA
Enumeration date
05/02/2006
Last updated
06/25/2020
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