Individual
MR. RICARDO RAUL RIESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1933 SHIELDS ROAD, DALTON, GA 30720
(706) 278-6628
(706) 278-6650
Mailing address
1933 SHIELDS ROAD, DALTON, GA 30720
(706) 278-6628
(706) 278-6650
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
044069
GA
Other
Enumeration date
07/25/2006
Last updated
11/29/2010
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