Individual
MISS ADRIANA SOFIA RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1800 HOWELL MILL RD NW STE 450, ATLANTA, GA 30318-2508
(404) 355-4393
(404) 609-7665
Mailing address
1800 HOWELL MILL RD NW STE 450, ATLANTA, GA 30318-2508
(404) 355-4393
(404) 609-7665
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
11364
GA
363AM0700X
Medical Physician Assistant
PA1383
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003281920A
—
GA
Enumeration date
10/18/2012
Last updated
04/04/2023
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