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Kerop Gourdikian

NPI 1699175562 · on the registry since 2014 · sole proprietor

Practice

Address
3505 Centerville Hwy
Snellville, GA 30039
Phone
(770) 736-2157
Fax
(770) 736-9340
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-03

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