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Individual

ROSA MARIELA PASCULLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
80 GILMER ST SE, ATLANTA, GA 30303
(404) 616-4473
Mailing address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
305022
NY
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
88765
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/13/2017
Last updated
02/01/2024
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