Individual
THOMAS BANK RUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-3482
Mailing address
4401 RESERVE DR NE, BROOKHAVEN, GA 30319-5920
(404) 889-3499
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
GA
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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