Individual
MS. RAINEY REANNA OLLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1223 FOREST ST, SAINT SIMONS ISLAND, GA 31522-4214
(912) 675-5578
Mailing address
1223 FOREST ST, SAINT SIMONS ISLAND, GA 31522-4214
(912) 675-5578
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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