MEDICARE: ALAN M KOZARSKY 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	207WX0120X	Cornea and External Diseases Specialist Physician	023619	GA
2	207W00000X	Ophthalmology Physician	023619	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700840147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN M KOZARSKY MD

Provider Business Mailing Address
First Line	:	3225 CUMBERLAND BLVD SE
Second Line	:	SUITE 900
City	:	ATLANTA
State	:	GA
Zip	:	30339-6407
Country	:	US
Telephone Number	:	404-351-2220
Fax Number	:	404-355-5624

Provider Business Practice Location Address
First Line	:	3193 HOWELL MILL RD NW STE 115
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-2100
Country	:	US
Telephone Number	:	404-350-1425
Fax Number	:	404-350-1429

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

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	10/13/2020

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