Individual
MRS. RAQUEL LUDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2500 HOSPITAL BLVD STE 280, ROSWELL, GA 30076-4918
(770) 754-0787
(770) 755-5890
Mailing address
2500 HOSPITAL BLVD STE 280, ROSWELL, GA 30076-4918
(770) 754-0787
(770) 755-5890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7113
MEDICAL LICENSE
GA
Enumeration date
06/17/2011
Last updated
01/18/2021
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