Individual
DR. RAKESH KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 SPARTA HWY, EATONTON, GA 31024-6093
(706) 485-2621
(706) 485-9354
Mailing address
PO BOX 4150, EATONTON, GA 31024-4150
(706) 485-2621
(706) 485-9354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22807
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00229226A
—
GA
01
—
017280
BCBS OF GA
GA
01
—
020000895
MCARE RAILROAD
GA
Enumeration date
08/22/2005
Last updated
10/29/2007
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