KATHLEEN M. RAVIELE MD PC NPI 1316296411

NPI Information

KATHLEEN M. RAVIELE, MD PC is a gynecology obstetrics gynecology in Decatur, GA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee KATHLEEN M. RAVIELE, MD PC NPI is 1316296411. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2799 LAWRENCEVILLE HWY
SUITE 110
DECATUR, GA
ZIP 30033-517
Phone: (770) 491-0255
Fax: (770) 491-8157

The provider's authorized official is Carol H Garrison .
The authorized official title is Insurance and has the following contact phone number (770) 491-0255.

The enumeration date for this NPI number is 9/5/2012 and was last updated on 7/9/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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