Rainey, Shannon Robert

Rainey, Shannon Robert is an individual health care provider with primary practice located at 3651 Wheeler Rd , Augusta GA 30909-6521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Rainey, Shannon Robert can be contacted via phone (210) 846-0726.

Contact Information

Primary practice address
3651 Wheeler Rd Augusta GA 30909-6521
Phone: (210) 846-0726
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 058764 Georgia

Profile Details

NPI number 1265406904
LBN Legal business name Rainey, Shannon Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Feb 6th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265406904 NPPES
Georgia MEDICAID 187826041A

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