Individual
KYLA RENTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
1377 EUCLID AVE NE, ATLANTA, GA 30307-1581
(404) 784-6216
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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