Khouri, Joseph
Khouri, Joseph is an sole proprietor health care provider with primary practice located at 3969 S Cobb Dr Se Suite 110, Smyrna GA 30080-6358. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Khouri, Joseph can be contacted via phone (770) 438-1002.Contact Information
Primary practice address
3969 S Cobb Dr Se Suite 110
Smyrna GA 30080-6358
Phone: (770) 438-1002
Fax: (770) 438-7223
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 24698 | Georgia |
Profile Details
NPI number | 1376584888 |
---|---|
LBN Legal business name | Khouri, Joseph |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 8th, 2006 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376584888 | NPPES |
Georgia | MEDICAID | 00258497W |
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