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Organization
THE RAISIG CLINIC AND WELLNESS CENTER
Active
Organization
THE RAISIG CLINIC AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GEORGE RAISIG (PROVIDER)
(706) 698-3627
Entity
Organization
Contact information
Practice address
60 HIGHLAND CT STE 101, ELLIJAY, GA 30540-6773
(706) 698-3627
(706) 698-3630
Mailing address
60 HIGHLAND CT STE 101, ELLIJAY, GA 30540-6773
(706) 698-3627
(706) 698-3630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
055290
GA
363A00000X
Physician Assistant
000494
GA
Other
Enumeration date
12/17/2007
Last updated
10/09/2020
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