Individual
DANA RUDISILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95 COLLIER RD NW STE 4075, ATLANTA, GA 30309-1751
(404) 355-3200
Mailing address
199 14TH ST NE APT 2109, ATLANTA, GA 30309-3690
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN311059
GA
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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