Individual
DEBORAH LYNN RAYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1107 GRANT WAY, ROCKY FACE, GA 30740-8824
(423) 580-2341
Mailing address
1107 GRANT WAY, ROCKY FACE, GA 30740-8824
(423) 580-2341
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN089341
GA
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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