# RMX BLACKSHEAR LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Restor Metabolix of Blackshear
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174287379
- **Authorized official:** RANDALL CRAWFORD (MANAGER)
- **Authorized official phone:** (912) 208-3581

## Contact information

- **Practice address:** 3345 US HIGHWAY 84 STE 102, BLACKSHEAR, GA 31516-2160
- **Practice address phone:** (912) 208-3581
- **Mailing address:** 3345 US HIGHWAY 84 STE 102, BLACKSHEAR, GA 31516-2160
- **Mailing address phone:** (912) 208-3581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/25/2021
- **Last updated:** 11/11/2022