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1063638807
MICHAEL REECE RAKESTRAW
TUCKER, GA
NPI
1063638807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: GA 42924)
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
-- MICHAEL REECE RAKESTRAW M.D.
1777 MONTREAL CIR
TUCKER, GA 30084-6802
Phone number: 770-934-9205
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Mailing Address
-- MICHAEL REECE RAKESTRAW M.D.
2159 SILVERSMITH LN
STONE MOUNTAIN, GA 30087-1714
Phone number: 770-934-2582
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