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Individual

RAYAH T. PANDLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1046 RIDGE AVE SW, ATLANTA, GA 30315-1640
(046) 881-3504
Mailing address
1046 RIDGE AVE SW, ATLANTA, GA 30315-1640
(404) 688-1350

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN266054
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN266054
GA

Other

Enumeration date
04/01/2019
Last updated
04/01/2022
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