Individual
JACK RALPH KORANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 CANTON RD NE, SUITE 300, MARIETTA, GA 30060-8948
(770) 429-0031
(678) 819-4299
Mailing address
1700 HOSPITAL SOUTH DR, SUITE 410, AUSTELL, GA 30106-6810
(678) 741-2317
(678) 741-2301
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
016810
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00185248D
—
GA
Enumeration date
12/13/2005
Last updated
04/08/2011
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