Individual
CALEB JESSE RAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1365C CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-0519
(404) 778-3260
Mailing address
4301 W MARKHAM ST, SLOT 816, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-368
AR
Other
Enumeration date
10/07/2008
Last updated
12/30/2020
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