Individual
TONJA L RAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1457 JEFFERSONVILLE RD, MACON, GA 31217-4370
(478) 321-5771
Mailing address
1457 JEFFERSONVILLE RD, MACON, GA 31217-4370
(478) 321-5771
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1004242
GA
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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