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Dr. Kathleen M Raviele, MD
Gynecology Physician in Decatur, Georgia
NPI 1508954298

Kathleen M Raviele is a Gynecology Physician based in Decatur, GA and is specialized in Gynecology. Kathleen M Raviele practices in Decatur, GA and has the professional credentials of MD. The NPI Number for Kathleen M Raviele is 1508954298 and holds a License No. 020801 (Georgia).

The current practice location address for Kathleen M Raviele is 2799 Lawrenceville Hwy, Decatur, GA and can be reached out via phone at 770-491-0255 and via fax at 770-491-8157.

Location: 2799 Lawrenceville Hwy, Decatur, GA, 30033-2517
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Provider Profile Details
NPI Number
1508954298
Provider Name
Kathleen M Raviele
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2799 Lawrenceville Hwy, Decatur, GA, 30033-2517
Phone Number
770-491-0255
Fax Number
770-491-8157
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000179935C 05 GA
160056472 01 GA MEDICARE RAILROAD PALMETT
7406947 01 GA UNITED HEALTHCARE
16BDCCB 01 GA PTAN
institution
Provider Business Practice Location Address Details
Address
2799 Lawrenceville Hwy
City
State
Zip
30033-2517
Phone Number
770-491-0255
Fax Number
770-491-8157
person
Provider Business Mailing Address Details
Address
2799 Lawrenceville Hwy
City
State
Zip
30033-2517
Phone Number
770-491-0255
Fax Number
770-491-8157
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
020801 (Georgia)
Definition
Definition to come...
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