| NPI | 1740310614 |
|---|---|
| Former Legal Business Name | RABUN MEDICAL CLINIC, PC |
| Entity Type | Organization |
| Authorized Contact | M. KATHY EASTERLING President 706-782-0468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 027807) |
| Additional Taxonomies | 208D00000X General Practice (Licence: GA 051960) |
| 207R00000X Internal Medicine (Licence: GA 051960) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2011-05-06 |