Individual
DR. PHILIP RENTZ RAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1605 MULKEY RD, BLDG 2, SUITE 210, AUSTELL, GA 30106-1127
(770) 739-2474
(770) 944-6357
Mailing address
1605 MULKEY RD, BLDG 2, SUITE 210, AUSTELL, GA 30106-1127
(770) 739-2474
(770) 944-6357
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
29366
GA
Other
Enumeration date
08/21/2006
Last updated
02/21/2008
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