Individual
KEITH C RAZIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5730 GLENRIDGE DR NE, SUITE 100, SANDY SPRINGS, GA 30328-6141
(404) 816-3000
(678) 904-5797
Mailing address
5730 GLENRIDGE DR NE, SUITE 100, SANDY SPRINGS, GA 30328-6141
(404) 816-3000
(678) 904-5797
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
050988
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710946322
GROUP NPI NUMBER
GA
05
—
646007054A
—
GA
01
—
7627358
CIGNA
GA
Enumeration date
04/21/2006
Last updated
09/17/2019
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