Individual
AMANDA RUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-6000
Mailing address
6203 CHASTAIN DR NE, ATLANTA, GA 30342-4179
(601) 668-9816
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
067605
GA
Other
Enumeration date
03/29/2009
Last updated
03/30/2015
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