Provider Demographics
NPI:1982977740
Name:RAPISARDI, ANTHONY SALVATORE (CSA)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:SALVATORE
Last Name:RAPISARDI
Suffix:
Gender:M
Credentials:CSA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:833 CAMPBELL HILL ST NW
Mailing Address - Street 2:SUITE 280
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1134
Mailing Address - Country:US
Mailing Address - Phone:214-227-2457
Mailing Address - Fax:214-699-4418
Practice Address - Street 1:833 CAMPBELL HILL ST NW
Practice Address - Street 2:SUITE 280
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1134
Practice Address - Country:US
Practice Address - Phone:770-485-7628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-09
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA3929246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant