Individual
KENYA RUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
5885 STRATHMOOR MANOR CIR, LITHONIA, GA 30058-2620
(404) 402-0053
Mailing address
5885 STRATHMOOR MANOR CIR, LITHONIA, GA 30058-2620
(404) 402-0053
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3136
GA
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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