Individual
DR. FRANK T ITALIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1680 HOSPITAL SOUTH DR, AUSTELL, GA 30106-8110
(770) 422-1372
Mailing address
55 WHITCHER ST NE, MARIETTA, GA 30060-1155
(770) 422-1372
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
71810
GA
207RP1001X
Pulmonary Disease Physician
Primary
71810
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0251241
—
NJ
Enumeration date
06/18/2008
Last updated
10/30/2019
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