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Contact Information

SAMIRAT A RASMUSSEN
9730 HILLSIDE DR
ROSWELL, GA30076-2827
 Phone: 404-996-9466
 Fax: 678-404-7624
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Care

2278H0200X
Indicates primary specialty

NPI Profile & details for SAMIRAT A RASMUSSEN · (Female)

NPI Number 1083244073
Status Active
Credentials
Entity Individual
Enumeration date 01/19/2020
Last updated 01/19/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # PHCP010547
  • GA Medicaid PHCP010547
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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