Kathleen M. Raviele, Md Pc

LBN: Kathleen M. Raviele, Md Pc
Kathleen M. Raviele, Md Pc is an health care organization with primary practice located at 2799 Lawrenceville Hwy Suite 110, Decatur GA 30033-2517. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as the primary health care specialty. Kathleen M. Raviele, Md Pc can be contacted via phone (770) 491-0255, or through Garrison, Carol H via phone (770) 491-0255.

Contact Information

Primary practice address
2799 Lawrenceville Hwy Suite 110 Decatur GA 30033-2517
Phone: (770) 491-0255
Fax: (770) 491-8157
Website:
Map and Directions
Authorized official contact:
Name: Garrison, Carol H
Phone: (770) 491-0255

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 020801 Georgia

Profile Details

NPI number 1316296411
LBN Legal business name Kathleen M. Raviele, Md Pc
DBA Doing business as
Authorized official Garrison, Carol H
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2012
Last updated Jul 9th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316296411 NPPES
Georgia MEDICAID 000179935C
Georgia Other 16BDCCB

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