Most Relevant Information
Provider Data
| NPI Number: | 1003463472 |
| Provider Name: | ADAM RAYNES |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 23241 |
Most Important Dates
| Enumeration Date: | 08/21/2019 |
| Last Updated: | 09/16/2019 |
Provider Practice Location
101 E WOOD ST
SPARTANBURG
SC
293033040
Practice Location Phone/Fax
| Phone: | 8645606000 |
| Fax: |
Provider Mailing Location
PO BOX 277723
ATLANTA
GA
303847723
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |