Individual
LORA ANN RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
55 WHITCHER ST NE STE 160, MARIETTA, GA 30060-1160
(470) 956-9734
Mailing address
55 WHITCHER ST NE STE 160, MARIETTA, GA 30060-1160
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-05614
NC
363A00000X
Physician Assistant
Primary
11143
GA
Other
Enumeration date
03/15/2015
Last updated
01/31/2023
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