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MR. RAPHAEL ASWANI ATULO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1831 5TH AVE, COLUMBUS, GA 31904-8915
(706) 320-8750
(706) 320-8770
Mailing address
1019 RUTH CREEK CT, COLUMBUS, GA 31909-2328
(706) 393-4758

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009037
GA

Other

Enumeration date
10/12/2018
Last updated
01/16/2019
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