| Doctor Name: | SUNEETA RAI |
| NPI Number: | 1104100254 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACNS, FNP |
| License Number: | 2011010580 |
| Business Practice Address: | 1 Sweet Bay Ct Ste B Moultrie, GA - 317686713 |
| Business Phone Number: | 2298905305 |
| Business Fax Number: | |
| Mailing Address: | 1 Sweet Bay Ct Ste B, MOULTRIE |
| State: | GA |
| Postal Code: | 317686713 |
| Phone Number: | 2298905305 |
| Fax Number: | |
| NPI Enumeration Date: | 10/07/2011 |
| NPI Last Update Date: | 02/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2200X |
| License Number: | 2011010580 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |