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Contact Information

WOOJIN K KOWALK, DO
1670 CLAIRMONT RD
5TH FLOOR SATP
DECATUR, GA30033-4004
 Phone: 404-321-6111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for WOOJIN K KOWALK · (Male)

NPI # 1477781433
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/29/2009
Last updated 12/04/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 129858
  • AL License # DO1183
  • GA License # 72649
  • AL Medicaid 151495
  • GA Medicaid 225489
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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