Individual provider · Type 1 NPI

Dmitri Kodor, PA-C

Medical Physician Assistant · Norcross, GA

NPI number 1679883748 Active

Practice location

6330 Primrose Hill Ct
Norcross, GA 30092

Fax (770) 664-2101

Mailing address

PO Box 769609
Roswell, GA 30076-8224

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X02933 (GA)

Medical Physician Assistant: Definition to come...

14 other providers at this address

Other medical physician assistant providers in Norcross

See all in Norcross →

About NPI 1679883748

Dmitri Kodor, PA-C's National Provider Identifier is 1679883748, issued on Oct 7, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Norcross, GA. The record was last updated on Jun 24, 2014.