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Individual

DR. B DENISE RAYNOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D., MPH

Contact information

Practice address
550 PEACHTREE ST NE, SUITE 1275, ATLANTA, GA 30308-2208
(404) 872-3121
Mailing address
550 PEACHTREE ST NE,, SUITE 1275, ATLANTA, GA 30308-2208
(404) 872-3121

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
38925
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000512883L
GA
05
000512883M
GA
Enumeration date
07/03/2006
Last updated
02/14/2012
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