Individual
RAHEEM LALANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-6012
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-6012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11983
GA
Other
Enumeration date
06/18/2020
Last updated
04/20/2023
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