Individual
MR. IRA STEVEN RACADAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
95 GOLDEN HILLS DR. STE. D, MOUNTAIN CITY, GA 30562-2025
(706) 613-4485
(762) 212-4368
Mailing address
125 N MAIN ST UNIT 1170, CLAYTON, GA 30525-4698
(706) 613-4485
(762) 212-4368
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11015334
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN264829
GA
Other
Enumeration date
11/16/2016
Last updated
11/04/2024
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