# MP RAINES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992192900
- **Authorized official:** DR. MICHAEL P. RAINES MD (OWNER)
- **Authorized official phone:** (229) 869-9930

## Contact information

- **Practice address:** 2453 LEE STREET RD, AMERICUS, GA 31709-9260
- **Practice address phone:** (229) 869-9930
- **Mailing address:** PO BOX 7282, AMERICUS, GA 31709-7282
- **Mailing address phone:** (229) 869-9930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35979 | GA | Yes |

## Other

- **Enumeration date:** 04/17/2015
- **Last updated:** 04/17/2015