Provider Demographics
NPI:1306146451
Name:FERENCHICK, RAINA MORGAN (MD)
Entity type:Individual
Prefix:DR
First Name:RAINA
Middle Name:MORGAN
Last Name:FERENCHICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1178 5TH ST SE
Mailing Address - Street 2:
Mailing Address - City:CAIRO
Mailing Address - State:GA
Mailing Address - Zip Code:39828-3141
Mailing Address - Country:US
Mailing Address - Phone:229-377-2002
Mailing Address - Fax:229-377-0930
Practice Address - Street 1:1180 5TH ST SE
Practice Address - Street 2:
Practice Address - City:CAIRO
Practice Address - State:GA
Practice Address - Zip Code:39828-3141
Practice Address - Country:US
Practice Address - Phone:229-377-2002
Practice Address - Fax:229-377-0930
Is Sole Proprietor?:No
Enumeration Date:2010-10-22
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN14341207V00000X
FLME108694207V00000X
GA68407207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology