Individual
RAFAELA TONIOLO WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1000
(770) 224-2451
Mailing address
NORTHSIDE HOSPITAL - MANAGED CARE DEPARTMENT, 1000 JOHNSON FERRY RD NE, ATLANTA, GA 30342
(404) 851-8097
(404) 250-8010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
75712
GA
208M00000X
Hospitalist Physician
Primary
75712
GA
Other
Enumeration date
05/14/2013
Last updated
01/10/2020
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