Provider Demographics
NPI:1497857841
Name:RAGAN, DAVID ARNEL (DO MPH)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ARNEL
Last Name:RAGAN
Suffix:
Gender:M
Credentials:DO MPH
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Mailing Address - Street 1:610 PEACHTREE PARKWAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-9712
Mailing Address - Country:US
Mailing Address - Phone:770-888-2733
Mailing Address - Fax:770-888-2741
Practice Address - Street 1:610 PEACHTREE PARKWAY
Practice Address - Street 2:SUITE 201
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-9712
Practice Address - Country:US
Practice Address - Phone:770-888-2733
Practice Address - Fax:770-888-2741
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2010-09-28
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Provider Licenses
StateLicense IDTaxonomies
GA033682207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202I084642Medicare PIN
D38576Medicare UPIN