Search › Georgia › 103T00000X
David Raque, PH.D
NPI 1326108648 · on the registry since 2006 · sole proprietor
Practice
- Address
- 11b Lenox Pointe Ne
Atlanta, GA 30324 - Phone
- (706) 455-2492
- Fax
- (706) 492-5714
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TC0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-11
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