Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mijin Ra, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710747969

Mijin Ra, MD is a Student in an Organized Health Care Education/Training Program in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2024.

Licensed in
GA
In the registry since
2024
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

777 Hemlock St Msc #165
Macon, GA 31201-2102
Phone: (478) 633-1634
Fax: (478) 633-1578
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 16347 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (GA)

Record details

NPI number1710747969
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2024
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024
Mailing address777 Hemlock St, Msc #165, Macon, GA 31201-2102

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