Provider Demographics
NPI:1871158881
Name:POMPEY, RA'SHEAD (DO)
Entity type:Individual
Prefix:
First Name:RA'SHEAD
Middle Name:
Last Name:POMPEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 N WASHINGTON ST STE A
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:GA
Mailing Address - Zip Code:30817-6037
Mailing Address - Country:US
Mailing Address - Phone:706-359-4215
Mailing Address - Fax:706-359-1662
Practice Address - Street 1:611 N WASHINGTON ST STE A
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:GA
Practice Address - Zip Code:30817-6037
Practice Address - Country:US
Practice Address - Phone:706-359-4215
Practice Address - Fax:706-359-1662
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
GA92689207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program