Individual
MARY K RAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
49 HOSIERY MILL RD, 124, DALLAS, GA 30157-1687
(770) 443-6111
Mailing address
3434 APPLING CT NW, KENNESAW, GA 30152-2542
(770) 369-7892
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006452
GA
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
05/12/2012
Last updated
02/11/2019
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