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Contact Information

GWENETTE J RAYFORD, PA-C
960 JOHNSON FERRY RD
STE 500
ATLANTA, GA30342-1631
 Phone: 404-257-0006
 Fax: 404-851-1316
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for GWENETTE J RAYFORD · (Female)

NPI # 1356364442
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/26/2006
Last updated 10/16/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 003935
  • GA Medicaid 405442623B
  • GA Medicaid 405442623M
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
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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