Individual
PATRICK BRYAN RAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 FISCHER MARKETPLACE LN STE 100, SHARPSBURG, GA 30277-3680
(678) 633-3260
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321
(770) 801-2500
(770) 803-2121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
043114
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I085147
MEDICARE PTAN
GA
Enumeration date
06/22/2006
Last updated
01/07/2025
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