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General NPI Number Information
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NPI Number | 1629046859
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Entity Type | Individual
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Provider Name | RAOUL MAYER M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 1800 TREE LN STE 330
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City | SNELLVILLE
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State | GA
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Zip | 30078-4700
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Country | US
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Telephone | 678-639-3930
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Fax |
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Provider Business Mailing Address
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Address Line | 2675 N DECATUR RD STE 710
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City | DECATUR
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State | GA
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Zip | 30033-6135
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Country | US
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Telephone | 404-501-7490
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Fax | 404-501-7430
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 043701
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License Number State | GA
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