DMITRI KODOR

NORCROSS, GA
NPI1679883748
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: GA  02933)
Enumeration Date2010-10-07
Last Update Date2014-06-24
Business Address
-- DMITRI KODOR PA-C
6330 PRIMROSE HILL CT
NORCROSS, GA 30092
Phone number: 770-343-8760
Mailing Address
-- DMITRI KODOR PA-C
PO BOX 769609
ROSWELL, GA 30076-8224
Phone number: 770-343-8760
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