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Individual

JONATHAN RACKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
501 REDMOND RD NW, ROME, GA 30165-1415
(201) 885-6571
Mailing address
501 REDMOND RD NW, ROME, GA 30165-1415

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
110624
GA
208M00000X
Hospitalist Physician
Primary
110624
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/24/2023
Last updated
05/06/2026
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