Provider Demographics
NPI:1518196732
Name:RAFEEDIE, GEORGE KALEEL (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:KALEEL
Last Name:RAFEEDIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:GEORGE
Other - Middle Name:KALEEL
Other - Last Name:RAFEEDIE
Other - Suffix:III
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1790 PRESIDENTIAL CIR
Mailing Address - Street 2:SUITE C
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-5688
Mailing Address - Country:US
Mailing Address - Phone:770-979-8022
Mailing Address - Fax:770-979-1098
Practice Address - Street 1:1790 PRESIDENTIAL CIR
Practice Address - Street 2:SUITE C
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-5688
Practice Address - Country:US
Practice Address - Phone:770-979-8022
Practice Address - Fax:770-979-1098
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA003565207Q00000X
GA067591207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine