Individual
RITA Y RAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
551 GRANBY LN, COLUMBIA, SC 29201-4655
(864) 530-2008
Mailing address
95 LAUREL LN, CAMPOBELLO, SC 29322-9212
(284) 589-7748
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F06172631
SC
Other
Enumeration date
09/02/2017
Last updated
09/02/2017
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