Individual
RAPHAEL G LOUTOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
870 NORTHSIDE DR NW, ATLANTA, GA 30318-5763
(404) 733-1170
(404) 733-1172
Mailing address
PO BOX 52725, ATLANTA, GA 30355-0725
(404) 733-1170
(404) 733-1172
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
039853
GA
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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