Provider Demographics
NPI:1578508727
Name:RASLER, FRANK ELLIOT (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:ELLIOT
Last Name:RASLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5039 WOODFALL DR SW
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-7023
Mailing Address - Country:US
Mailing Address - Phone:770-921-1594
Mailing Address - Fax:
Practice Address - Street 1:5039 WOODFALL DR SW
Practice Address - Street 2:
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-7023
Practice Address - Country:US
Practice Address - Phone:404-435-6909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA029934207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000363283QMedicaid
GA000363283RMedicaid