Individual
DR. KATHLEEN SIKORA VISCUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4800 OLDE TOWNE PKWY STE 250, MARIETTA, GA 30068-4428
(770) 971-3376
Mailing address
4800 OLDE TOWNE PKWY STE 250, MARIETTA, GA 30068-4428
(770) 971-3376
(770) 578-8567
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
074424
GA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
074424
GA
Other
Enumeration date
04/29/2010
Last updated
04/30/2020
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