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DR. KATHRYN LEA MCCUSKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
133 W ATHENS ST, WINDER, GA 30680-1786
(770) 867-6633
(770) 867-6703
Mailing address
PO BOX 459, COLBERT, GA 30628-0459
(706) 788-3234

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
060677
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
760599920C
GA
Enumeration date
05/02/2007
Last updated
08/06/2016
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