Provider Demographics
NPI:1144389388
Name:BOBB G CUCHER MD AND CAROLINE M ABRUZESE MD LLC
Entity Type:Organization
Organization Name:BOBB G CUCHER MD AND CAROLINE M ABRUZESE MD LLC
Other - Org Name:CUCHER AND ABRUZESE MD LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-252-0249
Mailing Address - Street 1:993 JOHNSON FERRY RD NE
Mailing Address - Street 2:SUITE F 130
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1620
Mailing Address - Country:US
Mailing Address - Phone:404-252-0249
Mailing Address - Fax:
Practice Address - Street 1:993 JOHNSON FERRY RD NE
Practice Address - Street 2:SUITE F 130
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1620
Practice Address - Country:US
Practice Address - Phone:404-252-0249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA018479207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty