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Individual

MRS. SUSAN S. RAGAINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN,FNP-BC

Contact information

Practice address
114 DOGWOOD DR, WAYNESBORO, GA 30830-5446
(706) 554-3618
Mailing address
404 S LAKE DR, SYLVANIA, GA 30467-2152
(912) 564-2821

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
048215
GA
363L00000X
Nurse Practitioner
Primary
0035673
GA

Other

Enumeration date
01/05/2009
Last updated
01/23/2013
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