MEDICARE: DRAGANA BUGARSKI-KIROLA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	051026	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	051026	OTHER	GA	PHYSICIAN LICENSE

General Provider Information

NPI Number	:	1013934777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DRAGANA BUGARSKI-KIROLA MD

Provider Business Mailing Address
First Line	:	1001 GARDEN VIEW DR NE #812
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30319
Country	:	US
Telephone Number	:	404-261-5971
Fax Number	:

Provider Business Practice Location Address
First Line	:	1841 CLIFTON RD NE
Second Line	:	3RD FLOOR PSYCHIATRY SUITE 349
City	:	ATLANTA
State	:	GA
Zip	:	30329-4021
Country	:	US
Telephone Number	:	404-727-2844
Fax Number	:	404-728-4963

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	07/08/2007

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