Individual
DR. RAINE WILLIAM PENDARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3107 WATSONS BND, ALPHARETTA, GA 30004-8825
(678) 691-0487
(678) 691-0487
Mailing address
3107 WATSONS BND, ALPHARETTA, GA 30004-8825
(678) 691-0487
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036110696
IL
2085R0202X
Diagnostic Radiology Physician
Primary
046803
GA
2085R0202X
Diagnostic Radiology Physician
15628
NV
2085R0202X
Diagnostic Radiology Physician
24145
OK
2085R0202X
Diagnostic Radiology Physician
ME84545
FL
Other
Enumeration date
12/09/2005
Last updated
06/27/2025
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