Individual
DR. DANIEL KEITH RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1829 LAWRENCEVILLE HWY, DECATUR, GA 30033-5728
(404) 292-8335
Mailing address
1829 LAWRENCEVILLE HWY, DECATUR, GA 30033-5728
(404) 292-8335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
84078
GA
Other
Enumeration date
05/13/2016
Last updated
02/13/2020
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