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Contact Information

ELLIOT G RAIZES, MD
1960 RIVERSIDE PKWY
SUITE 101
LAWRENCEVILLE, GA30043-5945
 Phone: 770-995-0466
 Fax: 770-995-0472
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ELLIOT G RAIZES · (Male)

NPI Number 1912913740
Status Active
Credentials MD
Entity Individual
Enumeration date 08/01/2006
Last updated 07/23/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 024478
  • GA Medicaid 00344847A
  • GA Medicaid 309509
  • Other 28131 BLUE CROSS BLUE SHIELD
  • Other 581958199 CHAMPUS
  • Other 9202955 UNITED HEALTH CARE
  • GA Other 85000553G GEORGIA BETTER HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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