Individual
DR. PHIL RAINES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
267 LANGLEY DR STE 1279, LAWRENCEVILLE, GA 30046-6907
(470) 342-7557
Mailing address
PO BOX 1422, DACULA, GA 30019-0025
(470) 342-7557
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2414
AL
Other
Enumeration date
05/12/2025
Last updated
07/21/2025
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