| Mario Ravry, M.D., LLC | |
|
5505 Peachtree Dunwoody Rd Ne Suite 650 Atlanta GA 30342-1705 | |
| (404) 459-9340 | |
| (404) 459-9347 |
| Full Name | Mario Ravry, M.D., LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 5505 Peachtree Dunwoody Rd Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Mario Ravry (PHYSICIAN/PARTNER) |
| Authorized Official Contact | 4044599340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mario Ravry, M.D., LLC 5505 Peachtree Dunwoody Rd Ne Suite 650 Atlanta GA 30342-1705 Ph: (404) 459-9340 | Mario Ravry, M.D., LLC 5505 Peachtree Dunwoody Rd Ne Suite 650 Atlanta GA 30342-1705 Ph: (404) 459-9340 |
| NPI Number | 1104890417 |
|---|---|
| Provider Enumeration Date | 02/14/2006 |
| Last Update Date | 11/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104890417 | NPI | - | NPPES |
| DA4579 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 207RG0100X | Internal Medicine - Gastroenterology | () | Secondary |
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