Search › Georgia › 363L00000X
Deja Koenig, NP
NPI 1184264525 · on the registry since 2020
Practice
- Address
- 4400 Brownsville Rd Ste 105
Powder Springs, GA 30127 - Phone
- (516) 830-5338
- Fax
- (470) 523-2573
- Organisation at this address
- The Kroger Co
Upward Autism Center Llc
Powder Springs Dentistry For Kids, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 5885 Glenridge Dr Ste 100, Atlanta, GA
- 1375 Blossom Hill Rd Ste 49, San Jose, CA
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LF0000X
- Licence states on file
- CA, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia