Individual
MRS. RACHAEL RIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-1000
Mailing address
1726 HUNTERS TRCE SW, LILBURN, GA 30047-2551
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/25/2017
Last updated
07/11/2017
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