Individual
ALYSE MARY ELAINE RAGAUSKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
777 HEMLOCK STREET, MSC#140, MACON, GA 31201
(478) 633-1851
Mailing address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1851
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13450
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/14/2020
Last updated
08/17/2021
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