NPI 1336572403

Edward Gurin, CPO

Practitioner Prosthetist Johns Creek, GA

Practice location

Address: 10985 Chandon Way, Johns Creek, GA 30097-7859
Phone: (770) 552-2960
Fax: (770) 552-2961

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 2 (GA)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence CPO02185

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Registry record

NPI: 1336572403
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Aug 2013
Record last updated: 13 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.