Healthcare Provider Details

I. General information

NPI: 1205332962
Provider Name (Legal Business Name): JULIAN A RIOS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2018
Last Update Date: 07/15/2024
Certification Date: 07/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 JOHNSON FERRY RD
ATLANTA GA
30342-1606
US

IV. Provider business mailing address

1211 MEDICAL CENTER DR
NASHVILLE TN
37232-0004
US

V. Phone/Fax

Practice location:
  • Phone: 404-851-8917
  • Fax: 404-303-3636
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number98873
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: