Individual
HOPE RASQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1301 SIGMAN RD NE STE 190, CONYERS, GA 30012-3924
(678) 806-3566
Mailing address
800 1ST ST STE 240, MACON, GA 31201-8308
(478) 633-6900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2004015333
MO
208C00000X
Colon & Rectal Surgery Physician
2004015333
MO
208C00000X
Colon & Rectal Surgery Physician
Primary
75125
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189759
BLUE CROSS/BLUE SHIELD
—
05
—
209348705
—
MO
Enumeration date
06/06/2006
Last updated
09/12/2024
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