Doctor Name: | DR. JOSEPH KHOURI |
NPI Number: | 1376584888 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 24698 |
Business Practice Address: | 3969 S Cobb Dr Se Suite 110 Smyrna, GA - 300806358 |
Business Phone Number: | 7704381002 |
Business Fax Number: | 7704387223 |
Mailing Address: | 3969 S Cobb Dr Se, Suite 110 SMYRNA |
State: | GA |
Postal Code: | 300806358 |
Phone Number: | 7704381002 |
Fax Number: | 7704387223 |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 24698 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |