Individual
PIYUSH RAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 MARBLE MILL RD NW, MARIETTA, GA 30060-1047
(770) 422-1013
Mailing address
111 MARBLE MILL RD NW, MARIETTA, GA 30060-1047
(770) 422-1013
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
059924
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059924
STATE LICENSE
GA
Enumeration date
08/30/2006
Last updated
06/21/2012
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