DR. Viktor Bouquette, M.D.

NPI #1073730552 in Atlanta, Georgia

Provider Information

NPI Number: 1073730552
Entity Type: Individual
Name: DR. Viktor Bouquette, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Apr 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4646 N. SHALLOWFORD ROAD
City: Atlanta
State: Georgia
ZIP Code: 30338
Phone: (770) 676-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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