Kevin Washington

NPI #1386821890 in Doraville, Georgia

Provider Information

NPI Number
1386821890
Entity Type
Organization
Organization Name
Kevin Washington
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jan 28, 2008
Last Updated
Jan 28, 2008

Practice Location

Address
411 PARKWAY CIRCLE SOUTH
State
Georgia
ZIP Code
30340-6305
Phone
(678) 691-3187

Authorized Official

Name
KEVIN WASHINGTON, 3134
Title
CERTIFIED SURGICAL ASSISTANT
Phone
(678) 691-3187

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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