MEDICARE: SYDNEY RAGLAND

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1063281228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY RAGLAND

Provider Business Mailing Address
First Line	:	2000 CANAL ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-3018
Country	:	US
Telephone Number	:	504-702-2275
Fax Number	:

Provider Business Practice Location Address
First Line	:	3645 MARKETPLACE BLVD STE 130715
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30344-5747
Country	:	US
Telephone Number	:	404-444-3416
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2023
Last Update Date	:	03/31/2026

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Directions to “ SYDNEY RAGLAND ” Practice Location

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