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Raina Udom, P.A.-C
NPI 1477999860 · on the registry since 2013
Practice
- Address
- 5470 Memorial Dr
Ste A
Stone Mountain, GA 30083 - Phone
- (404) 296-8500
- Organisation at this address
- Crosslinks Medical Services And Reh Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-05-13
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