Individual
DR. DINGANE BARUTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
6842 DOUGLAS BLVD STE K, DOUGLASVILLE, GA 30135
(404) 937-3508
Mailing address
6842 DOUGLAS BLVD STE K, DOUGLASVILLE, GA 30135-1576
(404) 937-3508
(404) 973-2004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
055411
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003132308A
—
GA
Enumeration date
08/04/2006
Last updated
10/04/2019
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