Individual
CAMILLE RAINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
5717 TWAIN DR, ELLENWOOD, GA 30294-3937
(678) 558-2586
Mailing address
5717 TWAIN DR, ELLENWOOD, GA 30294-3937
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
0008554435
GA
Other
Enumeration date
08/03/2021
Last updated
09/11/2025
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