Individual
AMANDA RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2273
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2273
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
336495
LA
Other
Enumeration date
05/11/2015
Last updated
08/07/2023
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