Individual
ALLEN TERENCE RAPHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3200 HIGHLANDS PARKWAY, SUITE 100, SMYRNA, GA 30082-5196
(770) 319-5502
(770) 434-9010
Mailing address
900 CIRCLE 75 PKWY. SE, SUITE 200, ATLANTA, GA 30080-3084
(678) 426-2171
(404) 446-1957
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001050
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52212173-001
BC/BS, SMYRNA
GA
01
—
52212173-002
BC/BS DOUGLASVILLE
GA
01
—
5284933
CIGNA
GA
01
—
581994261
GREAT WEST HEALTHCARE
GA
05
—
761921467A
—
GA
05
—
761921467C
—
GA
05
—
761921467G
—
GA
05
—
761921467J
—
GA
05
—
761921467P
—
GA
01
—
946888
BLUE CROSS BLUE SHIELD GA
GA
Enumeration date
05/26/2006
Last updated
10/15/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us