Aliza A Krug PA-C

NPI 1497001515 - Physician Assistant - 363A00000X

NPI Details
NPI 1497001515
Gender Female
Enumeration Date 07/26/2012
Last Updated 11/05/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
55 WHITCHER ST NE
STE. 160
MARIETTA GA, 30060-1155, US
Phone (770) 422-1372
Fax
Business Location
2572 CHESTEA DR NE
MARIETTA GA, 30066-6917, US
Phone (972) 567-9346
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Georgia
License Number 6490
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According to our database, Mrs. Aliza A Krug PA-C NPI is 1497001515, taxonomy code is 363A00000X and license number is 6490, license state is located at Georgia. Aliza A Krug PA-C physically located at 55 Whitcher St Ne, Marietta GA, 30060-1155. NPI Number Aliza A Krug PA-C has the Individual type.

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1497001515 NPI number is provided on an as is basis without warranty of any kind. 1497001515 is maintained by the National Plan & Provider Enumeration System. The contents of Aliza A Krug PA-C are for informational purposes only.