Viktor Bouquette M.D.

NPI 1073730552 - Specialist - 174400000X

NPI Details
NPI 1073730552
Gender Male
Enumeration Date 04/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4646 N. SHALLOWFORD ROAD
ATLANTA GA, 30338, US
Phone (770) 676-6000
Fax (770) 392-9805
Business Location
4646 N. SHALLOWFORD ROAD
ATLANTA GA, 30338, US
Phone (770) 676-6000
Fax (770) 392-9805
Toxanomy
Taxonomy Code 174400000X
License State Georgia
License Number 026769
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According to our database, Dr. Viktor Bouquette M.D. NPI is 1073730552, taxonomy code is 174400000X and license number is 026769, license state is located at Georgia. Viktor Bouquette M.D. physically located at 4646 N. Shallowford Road, Atlanta GA, 30338. NPI Number Viktor Bouquette M.D. has the Individual type.

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1073730552 NPI number is provided on an as is basis without warranty of any kind. 1073730552 is maintained by the National Plan & Provider Enumeration System. The contents of Viktor Bouquette M.D. are for informational purposes only.