Individual
SAMUEL D RAUCH JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1240 JESSE JEWELL PKWY SE, STE 500, GAINESVILLE, GA 30501-3861
(678) 350-3636
(770) 297-5023
Mailing address
399 PENINSULA RD, GAINESVILLE, GA 30506-1705
(770) 536-8585
(770) 297-5023
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11452
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00086039A
—
GA
Enumeration date
05/24/2005
Last updated
07/08/2007
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