Individual
RODNEY A RAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
679 HOSPITAL RD, COMMERCE, GA 30529-1146
(706) 335-4884
(706) 336-8798
Mailing address
2718 N OAK ST, VALDOSTA, GA 31602-1781
(229) 242-3668
(229) 253-8666
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000929
GA
213EP1101X
Primary Podiatric Medicine Podiatrist
000929
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00928771A
—
GA
01
—
P00012281
RAILROAD MEDICARE
GA
Enumeration date
03/21/2006
Last updated
04/30/2019
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