Individual
SAMIRAT AMA RASMUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9730 HILLSIDE DR, ROSWELL, GA 30076-2827
(404) 996-9466
(678) 404-7624
Mailing address
9730 HILLSIDE DR, ROSWELL, GA 30076-2827
(404) 996-9466
(678) 404-7624
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
Primary
PHCP010547
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHCP010547
—
GA
Enumeration date
01/19/2020
Last updated
01/19/2020
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