Individual
RAPHAEL GERSHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 778-4852
Mailing address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
33089
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00433397B
—
GA
Enumeration date
12/01/2006
Last updated
01/16/2008
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