| |
679 Hospital Rd, Commerce, GA 30529-1146 | |
(706) 335-4884 | |
(706) 336-8798 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist |
Location | 679 Hospital Rd, Commerce, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407032337 | NPI | - | NPPES |
00865103A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (Georgia) | Primary |
Provider Name | Rodney A Raker |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1770542417 PECOS PAC ID: 7113098179 Enrollment ID: I20080618000557 |
Mailing Address | Practice Location Address |
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679 Hospital Rd, Commerce, GA 30529-1146 Ph: (706) 335-4884 | 679 Hospital Rd, Commerce, GA 30529-1146 Ph: (706) 335-4884 |
Tom Tien Dang, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 679 Hospital Road, Commerce, GA 30529 Phone: 706-335-4884 Fax: 706-336-8798 | |
Rodney A Raker, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 679 Hospital Rd, Commerce, GA 30529 Phone: 706-335-4884 Fax: 706-336-8798 |