Individual
DR. SHANNON ROBERT RAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3651 WHEELER RD, AUGUSTA, GA 30909-6521
(210) 846-0726
Mailing address
934 NAPIERS POST DR, EVANS, GA 30809
(706) 860-7593
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
058764
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187826041A
—
GA
Enumeration date
02/16/2006
Last updated
02/06/2020
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