Search › Georgia › 101YA0400X
Kirk Jamgotchian, ICADC
NPI 1639231251 · on the registry since 2006
Practice
- Address
- 113 - B Newnan Street
Carrollton, GA 30117 - Phone
- (770) 214-5066
- Fax
- (770) 214-5067
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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