Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0106X | Oral and Maxillofacial Pathology | 5873 | NC |
Y | 1223P0106X | Oral and Maxillofacial Pathology | DNF000371 | GA |
NPI | 1366546376 |
---|---|
Provider Name | Dr. Zoya B Kurago |
First Address | Augusta, GA 30912-0001 |
Second Address | Augusta, GA 30912-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2006 |
Last Update Date | 22/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003149815A | (05) | GA |
U83520 | (02) | |
ZX0371 | (05) | SC |