Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DMITRI KODOR, PA-C
ActiveDMITRI KODOR, PA-C is a Medical Physician Assistant healthcare provider located in NORCROSS, Georgia. NPI 1679883748 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · NORCROSS, GA
Registration Details
- NPI Number
- 1679883748
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 7, 2010 (15.843501090425 yrs)
- Last Updated
- Jun 24, 2014
- License
-
02933 (GA)
Practice Information
- Address
-
6330 PRIMROSE HILL CTNORCROSS, GA, 30092Browse GA providers · Browse ZIP 30092
- Phone
- 7703438760
- Fax
- 7706642101
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in NORCROSS, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. CUNARDLINE BIENVENU-SUMPTER | PA-C | 1972685667 |
| MR. MEHRAB JONATHON ZARIAN-DERO | P.A | 1700903135 |
| MS. KIMBERLY LINDSAY | PA-C | 1356651210 |
| DEBORAH GOODEN ADAMS BOWMAN | PA | 1205196235 |
| JESSICA ESTRADA | PA-C | 1801517446 |
| ANTOLIN MORONTA | PHYSICIAN ASSISTANT | 1518728427 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.