Individual
GREGORY TODD RAINWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 J L WHITE DR, SUITE 170, JASPER, GA 30143-4908
(706) 692-2437
Mailing address
1020 J L WHITE DR, SUITE 170, JASPER, GA 30143-4908
(706) 692-2437
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
039444
GA
Other
Enumeration date
12/27/2006
Last updated
03/08/2017
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