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Individual

DR. IRINA RUFFORNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1968 PEACHTREE RD NW, PATHOLOGY DEPT, ATLANTA, GA 30309-1281
(404) 605-3247
Mailing address
PO BOX 491028, LAWRENCEVILLE, GA 30049-0053
(770) 237-4500

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
056761
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
229631
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
774234246A
GA
Enumeration date
06/10/2006
Last updated
06/03/2009
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