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Organization

RAUSCH FAMILY PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUDITH RAUSCH M.D. (CHIEF EXECUTIVE OFFICER)
(404) 444-6416
Entity
Organization

Contact information

Practice address
1000 WYNGATE PKWY, SUITE 210, WOODSTOCK, GA 30189-6981
(678) 384-7305
(770) 928-9109
Mailing address
1000 WYNGATE PKWY, SUITE 210, WOODSTOCK, GA 30189-6981
(678) 384-7305
(770) 928-9109

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
019757
GA

Other

Enumeration date
08/30/2010
Last updated
08/30/2010
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