Individual
REBECCA LINTON RADKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
993 JOHNSON FERRY RD, BLDG C, STE 120, ATLANTA, GA 30342-1620
(404) 790-7860
(404) 851-8673
Mailing address
993 JOHNSON FERRY RD, BLDG C, STE 120, ATLANTA, GA 30342-1620
(404) 790-7860
(404) 851-8673
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN116771
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003112390E
—
GA
Enumeration date
08/08/2011
Last updated
01/10/2017
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