Organization
MP RAINES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL P. RAINES MD (OWNER)
(229) 869-9930
Entity
Organization
Contact information
Practice address
2453 LEE STREET RD, AMERICUS, GA 31709-9260
(229) 869-9930
Mailing address
PO BOX 7282, AMERICUS, GA 31709-7282
(229) 869-9930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35979
GA
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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