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Individual

RAVEN KAE BELMONTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
4484 PEACHTREE RD NE, ATLANTA, GA 30319
(404) 261-1441
Mailing address
111 RYAN WAY SE, SMYRNA, GA 30080-8258
(919) 868-0943

Taxonomy

Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
2000003701
GA

Other

Enumeration date
07/16/2010
Last updated
07/16/2010
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