Individual
DR. JEREMY THOMAS RAGLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(404) 312-9771
Mailing address
439 SHADOWLAWN RD SE, MARIETTA, GA 30067-4326
(404) 312-9771
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Q5539
TX
2084N0400X
Neurology Physician
262753
NY
2084N0400X
Neurology Physician
MD221743
OR
2084N0400X
Neurology Physician
MD61575693
WA
2084N0400X
Neurology Physician
Primary
ME159336
FL
208M00000X
Hospitalist Physician
ME159336
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00106W
MDCR GRP PTAN HARRIS CO
TX
01
—
0035TD
BCBSTX GRP PROV #
TX
01
—
153449704
MDCD GRP TPI HARRIS CO
TX
01
—
DB6392
RR MDCR GRP PTAN
TX
Enumeration date
06/15/2009
Last updated
06/16/2025
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