Michael Rakestraw, M.D

NPI 1063638807 · on the registry since 2007 · sole proprietor

Practice

Address: 1777 Montreal Cir
Tucker, GA 30084
Phone: (770) 934-9205
Organisation at this address: Ocmulgee Medical Pathology Association Inc
Ocmulgee Medical Pathology Association, Inc
Quest Diagnostics Clinical Laboratories Inc
Quest Diagnostics Clinical Laboratories Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: 207ZP0102X
207ZP0102X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia