Organization
KURAOKA CLINIC
Active
Organization
KURAOKA CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAKI KURAOKA RHEAUME M.D. (PRESIDENT)
(770) 980-0000
Entity
Organization
Contact information
Practice address
100 GALLERIA PKWY SE, SUITE 660, ATLANTA, GA 30339-3179
(770) 980-0000
(770) 217-4164
Mailing address
100 GALLERIA PARYWAY, S.E., SUITE 660, ATLANTA, GA 30339
(770) 980-0000
(770) 217-4164
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
056473
GA
2085R0204X
Vascular & Interventional Radiology Physician
054657
GA
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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