Provider Demographics
NPI:1609156728
Name:RINER, JAMES GRAYSON (RPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:GRAYSON
Last Name:RINER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 CRYSTAL COURT
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-3245
Mailing Address - Country:US
Mailing Address - Phone:706-338-1380
Mailing Address - Fax:
Practice Address - Street 1:1850 BARNETT SHOALS RD
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30605-3011
Practice Address - Country:US
Practice Address - Phone:706-549-3820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-20
Last Update Date:2011-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH010117183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist