| Dr Bannister Lee Raines Jr, MD | |
|
1325 Bedford Ave Unit 21499, Baltimore, MD 21282-7525 | |
| (443) 415-7170 | |
| Not Available |
| Full Name | Dr Bannister Lee Raines Jr |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 1325 Bedford Ave Unit 21499, Baltimore, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952707903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | D0017735 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bannister Lee Raines Jr, MD 1325 Bedford Ave Unit 21499, Baltimore, MD 21282-7525 Ph: (443) 415-7170 | Dr Bannister Lee Raines Jr, MD 1325 Bedford Ave Unit 21499, Baltimore, MD 21282-7525 Ph: (443) 415-7170 |
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