Dmitri Kodor, PA-C

NPI 1679883748 · on the registry since 2010

Practice

Address: 6330 Primrose Hill Ct
Norcross, GA 30092
Phone: (770) 343-8760
Fax: (770) 664-2101
Organisation at this address: Mei Services Inc
Tuneup Physical Therapy Llc
Ganesha Rx Care Group 3, Llc
Ganesha Rx Care Group 3, Llc
In-Quest Medical Research, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-06-24

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