Individual
MRS. KELLY Y RAINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2421 SANTA BARBRA CT SE, CONYERS, GA 30013-2006
(678) 598-8120
(888) 316-5037
Mailing address
2421 SANTA BARBRA CT SE, CONYERS, GA 30013-2006
(678) 598-8120
(888) 316-5037
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
72810
GA
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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