Individual
RAINA GRISWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1110 W PEACHTREE ST NW STE 200A, ATLANTA, GA 30309-3609
(404) 575-2000
(404) 575-2001
Mailing address
1304 W BOBO NEWSOM HWY, HARTSVILLE, SC 29550-4710
(843) 339-2100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-03812
NC
363A00000X
Physician Assistant
Primary
9656
GA
Other
Enumeration date
10/17/2012
Last updated
05/05/2025
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