Individual
RANO RAKHMANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6325 HOSPITAL PKWY, JOHNS CREEK, GA 30097
(678) 474-7000
Mailing address
1148 PITTS RD, ATLANTA, GA 30350
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN207457
GA
363LG0600X
Gerontology Nurse Practitioner
RN207457
GA
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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