Coralli, Richard John

Coralli, Richard John is an individual health care provider with primary practice located at 2665 N Decatur Rd Suite 260, Decatur GA 30033-6149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Coralli, Richard John can be contacted via phone (404) 297-9077.

Contact Information

Primary practice address
2665 N Decatur Rd Suite 260 Decatur GA 30033-6149
Fax: (404) 296-1220
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 027042 Georgia

Profile Details

NPI number 1144241159
LBN Legal business name Coralli, Richard John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144241159 NPPES
Georgia Other 027042 GA LICENSE
Georgia MEDICAID 000399154B GA LICENSE

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