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NPI Code Detail

MEDICARE: GEORGE RASCHBAUM MD

MEDICARE: GEORGE RASCHBAUM MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0120XPediatric Surgery PhysicianME160141FL
22086S0120XPediatric Surgery Physician50252GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790784379
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE RASCHBAUM MD
Provider Business Mailing Address
First Line : 5461 MERIDIAN MARK RD STE 570
Second Line :
City : SANDY SPRINGS
State : GA
Zip : 30342-2807
Country : US
Telephone Number : 404-785-6895
Fax Number : 404-785-6896
Provider Business Practice Location Address
First Line : 5461 MERIDIAN MARK RD STE 570
Second Line :
City : ATLANTA
State : GA
Zip : 30342-2807
Country : US
Telephone Number : 404-785-6895
Fax Number : 404-785-6896
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 06/03/2026

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Directions to “ GEORGE RASCHBAUM MD” Practice Location

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