KRISTOPHER NICHOLAS URBANOVITCH

DECATUR, GA
NPI1386365567
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: GA  131)
Additional Taxonomies222Z00000X Orthotist
(Licence: GA  131)
Enumeration Date2022-09-07
Last Update Date2022-09-07
Business Address
KRISTOPHER NICHOLAS URBANOVITCH
1670 CLAIRMONT RD # 508121
DECATUR, GA 30033-4004
Phone number: 404-321-6111
Mailing Address
KRISTOPHER NICHOLAS URBANOVITCH
3018 KENTMERE DR
CUMMING, GA 30040-1220
Phone number: 770-371-8030
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