Individual
KYLE COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5513 CHAMBLEE DUNWOODY RD STE 430, DUNWOODY, GA 30338-4106
(770) 551-9633
(770) 698-9184
Mailing address
867 ROSEDALE RD NE APT 7B, ATLANTA, GA 30306-4828
(850) 879-2176
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
261QR0400X
GA
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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