Individual
ASMITA RAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3660 MARKET ST, CLARKSTON, GA 30021-1246
(470) 355-7896
Mailing address
621 CATAMOUNT WAY SW, LILBURN, GA 30047-8952
(510) 829-7773
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
315662
GA
Other
Enumeration date
07/13/2024
Last updated
07/13/2024
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