Individual
RICHARD RAYNARD GAINES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AG-ACNP
Contact information
Practice address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1611
(404) 851-8000
Mailing address
2557 LENNOX RD SE, CONYERS, GA 30094-2029
(404) 993-6561
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
146942
GA
Other
Enumeration date
06/12/2022
Last updated
10/23/2025
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