Individual
SANDRA S RAINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
913 PENDERGAST ST, WAYCROSS, GA 31501-2821
(912) 281-0665
Mailing address
913 PENDERGAST ST, WAYCROSS, GA 31501-2821
(912) 281-0665
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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