Provider Demographics
NPI:1851475396
Name:KUZIO, DANIEL JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JOHN
Last Name:KUZIO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5150 STILESBORO RD NW
Mailing Address - Street 2:SUITE 120
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-7744
Mailing Address - Country:US
Mailing Address - Phone:678-354-0230
Mailing Address - Fax:678-354-0828
Practice Address - Street 1:5150 STILESBORO RD NW
Practice Address - Street 2:SUITE 120
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30152-7744
Practice Address - Country:US
Practice Address - Phone:678-354-0230
Practice Address - Fax:678-354-0828
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2020-01-06
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Provider Licenses
StateLicense IDTaxonomies
GA040714207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA9289602OtherCIGNA HEALTHCARE
GA759253OtherBLUECROSS BLUESHIELD GA
GA160227OtherCOVENTRY HEALTHCARE OF GA
GA1775856OtherUNITED HEALTHCARE
GA08BBWLLMedicare ID - Type Unspecified
GA759253OtherBLUECROSS BLUESHIELD GA