Provider Demographics
NPI:1326453796
Name:KUROKAWA, EMILY MIYUKI (MD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:MIYUKI
Last Name:KUROKAWA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2725 HAMILTON MILL RD
Mailing Address - Street 2:SUITE 500 BOX 240
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-0004
Mailing Address - Country:US
Mailing Address - Phone:404-433-0346
Mailing Address - Fax:
Practice Address - Street 1:3625 BRASELTON HWY STE 201
Practice Address - Street 2:
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-4695
Practice Address - Country:US
Practice Address - Phone:678-404-2220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-24
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA6829207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology