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NPI Code Detail

MEDICARE: DR. RAINA MORGAN FERENCHICK M.D.

MEDICARE: DR. RAINA MORGAN FERENCHICK M.D.
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
1207V00000XObstetrics & Gynecology PhysicianTRN14341FL
2207V00000XObstetrics & Gynecology PhysicianME108694FL
3207V00000XObstetrics & Gynecology Physician68407GA

General Provider Information

NPI Number : 1306146451
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAINA MORGAN FERENCHICK M.D.
Provider Business Mailing Address
First Line : 1178 5TH ST SE
Second Line :
City : CAIRO
State : GA
Zip : 39828-3141
Country : US
Telephone Number : 229-377-2002
Fax Number : 229-377-0930
Provider Business Practice Location Address
First Line : 1180 5TH ST SE
Second Line :
City : CAIRO
State : GA
Zip : 39828-3141
Country : US
Telephone Number : 229-377-2002
Fax Number : 229-377-0930
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2010
Last Update Date : 07/01/2013

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