Search › Georgia › 101YM0800X
Ismail Raheem
NPI 1508454513 · on the registry since 2021 · sole proprietor
Practice
- Address
- 43 Amanda Dr
Dallas, GA 30157 - Phone
- (706) 409-6280
Additional practice sites
- 43 Amanda Dr, Dallas, GA
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia