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Individual

DR. KIMBERLY JEANNE RASK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
550 PICKERING LN NW, ATLANTA, GA 30327-4667
(404) 727-1483
(404) 727-9198
Mailing address
550 PICKERING LN NW, ATLANTA, GA 30327-4667
(404) 727-1483
(404) 727-9198

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
027208
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00466628A
GA
Enumeration date
02/12/2008
Last updated
02/12/2008
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