WOOJIN KWAK KOWALK D.O. NPI 1477781433

NPI Information

NPI: 1477781433
Provider Name: WOOJIN KWAK KOWALK, D.O.
Classification: Psychiatry & Neurology - 2084P0802X
Entity Type: Individual

Specialization: Addiction Psychiatry

PECOS Registration: Yes

Address:
1670 CLAIRMONT RD
5TH FLOOR SATP
DECATUR, GA
ZIP 30033
Phone: (404) 321-6111
Get Directions

Woojin Kwak Kowalk, D.O. is an addiction psychiatry psychiatry neurology in Decatur, GA. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. Woojin Kwak Kowalk, D.O. NPI is 1477781433. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1670 CLAIRMONT RD
5TH FLOOR SATP
DECATUR, GA
ZIP 30033-004
Phone: (404) 321-6111

The NPI 1477781433 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/29/2009 and was last updated on 12/4/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	72649	GEORGIA	No
2	390200000X	Student in an Organized Health Care Education/Training Program		129858	ALABAMA	No
3	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	72649	GEORGIA	Yes
4	2084P0800X	Psychiatry & Neurology	Psychiatry	DO1183	ALABAMA	No
5	2084P0800X	Psychiatry & Neurology	Psychiatry	72649	GEORGIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	225489	MEDICAID	GEORGIA
2	151495	MEDICAID	ALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »