Individual
MEDJINA RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
227 ASPEN VALLEY LN, DALLAS, GA 30157-1462
(678) 468-9601
Mailing address
227 ASPEN VALLEY LN, DALLAS, GA 30157-1462
(678) 468-9601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
630292
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
RN267526
GA
363LG0600X
Gerontology Nurse Practitioner
RN267526
GA
Other
Enumeration date
06/12/2012
Last updated
02/26/2026
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