Individual
LOUVENIA ANNETTE RAINGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2139 LUMPKIN RD, AUGUSTA, GA 30906-3594
(706) 790-4060
(706) 790-0762
Mailing address
2139 LUMPKIN RD, AUGUSTA, GA 30906-3594
(706) 790-4060
(706) 790-0762
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10923
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00433925A
—
GA
Enumeration date
05/08/2007
Last updated
07/09/2007
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