Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dmitri Kodor, PA-C

Individual provider Medical Physician Assistant · NPI 1679883748

Dmitri Kodor, PA-C is a Medical Physician Assistant in Norcross, Georgia. Licensed in Georgia. Registered with an NPI since 2010.

Licensed in
GA
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

6330 Primrose Hill Ct
Norcross, GA 30092
Phone: (770) 343-8760
Fax: (770) 664-2101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 02933 (GA)

Record details

NPI number1679883748
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 7, 2010
Last updated in NPPESJune 24, 2014
Mailing addressPo Box 769609, Roswell, GA 30076-8224

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