David W Raque (NPI# 1326108648, PAC ID# 7517097462) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1326108648 |
| PAC ID by PECOS | 7517097462 |
| Professional Enrollment ID | I20100619000129 |
| Full Name | David W Raque |
| Address |
11 Lenox Pointe Ne Suite B Atlanta GA 30324-7414 |
| Phone Number | 4042330660 |
| Gender | M |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11 Lenox Pointe Ne, Suite B, Atlanta, GA 30324-7414 | 4042330660 |
| Street Address |
11 LENOX POINTE NE SUITE B |
| City | ATLANTA |
| State | GA |
| Zip | 30324-7414 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey C. Eisenberg | Optometry | Myeyedr Optometry of Georgia, LLC | 2549 Piedmont Rd Ne, Atlanta, GA 30324-3023 |
| Robert Butterwick | Optometry | Ross Eyecare Group, P.C. | 2625 Piedmont Rd Ne, Suite G 36, Atlanta, GA 30324-3080 |
| Stephanie Ross | Optometry | Ross Eyecare Group, P.C. | 2625 Piedmont Rd Ne, Suite G 36, Atlanta, GA 30324-3080 |
| David Ross | Optometry | Ross Eyecare Group, P.C. | 2625 Piedmont Rd Ne, Suite G 36, Atlanta, GA 30324-3080 |
| Michael Bloom | Optometry | Ross Eyecare Group, P.C. | 2625 Piedmont Rd Ne, Suite G 36, Atlanta, GA 30324-3080 |
| Matthew Mast | Optometry | Ross Eyecare Group, P.C. | 2625 Piedmont Rd Ne, Suite G 36, Atlanta, GA 30324-3080 |
| Richard E Schultz | Clinical Psychologist | 18 Lenox Pointe Ne, Suite A, Atlanta, GA 30324-3168 | |
| Anne Marie Meehan | Psychologist, Clinical | 25 B Lenox Pointe Ne, Atlanta, GA 30324-3172 | |
| Richard A Waldman | Psychiatry | 30 Lenox Pointe Ne A, Atlanta, GA 30324-3177 | |
| Sharon A Bent-harley | Obstetrics/gynecology | 2678 Buford Nehwy, Atlanta, GA 30324-3240 | |
| Find all physicians in zip 30324 | |||
| City | ATLANTA |
| Zip Code | 30324 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | ATLANTA + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on David W Raque.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.