Kowalk, Woojin Kwak
Kowalk, Woojin Kwak is an individual health care provider with primary practice located at 1670 Clairmont Rd 5Th Floor Satp, Decatur GA 30033-4004. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Addiction Psychiatry is his primary health care specialty. Kowalk, Woojin Kwak can be contacted via phone (404) 321-6111.Contact Information
Primary practice address
1670 Clairmont Rd 5Th Floor Satp
Decatur GA 30033-4004
Phone: (404) 321-6111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | DO1183 | Alabama |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 72649 | Georgia |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 72649 | Georgia |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 129858 | Alabama |
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 72649 | Georgia |
Profile Details
| NPI number | 1477781433 |
|---|---|
| LBN Legal business name | Kowalk, Woojin Kwak |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2009 |
| Last updated | Dec 4th, 2017 - about 9 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 | 1477781433 | NPPES |
| Alabama | MEDICAID | 151495 | |
| Alabama | MEDICAID | 225489 |
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