Individual
DR. JONATHAN CLAY RAINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27961 US HIGHWAY 98 STE 10, DAPHNE, AL 36526-4718
(251) 626-0732
(251) 272-1983
Mailing address
3280 DAUPHIN ST BLDG A, MOBILE, AL 36606-4060
(251) 626-0732
(251) 272-1983
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
26411
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113946
—
AL
01
—
528700580
GROUP MEDICAID
AL
Enumeration date
02/23/2007
Last updated
09/10/2014
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