Individual
RICHARD A KRAKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11685 ALPHARETTA HWY, 200, ROSWELL, GA 30076-4910
(770) 442-3328
(770) 664-6781
Mailing address
11685 ALPHARETTA HWY, STE 200, ROSWELL, GA 30076-4910
(770) 442-3328
(770) 664-6781
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
016377
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00586561A
—
GA
01
—
142553
BCBS OF GA.
GA
Enumeration date
07/14/2005
Last updated
06/24/2008
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