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Organization
RABUN MEDICAL CENTER, LLC
Active
Organization
RABUN MEDICAL CENTER, LLC
Active
Other names
Rabun Medical Clinic, PC
Organization subpart
No
Provider details
NPI number
Authorized official
M. KATHY EASTERLING M.D. (PRESIDENT)
(706) 782-0468
Entity
Organization
Contact information
Practice address
773 N MAIN ST, CLAYTON, GA 30525-4257
(706) 782-0468
(706) 782-1488
Mailing address
PO BOX 906, CLAYTON, GA 30525-0023
(706) 782-0468
(706) 782-1488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
051960
GA
208D00000X
General Practice Physician
Primary
027807
GA
208D00000X
General Practice Physician
051960
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
716351517A
—
GA
Enumeration date
03/07/2007
Last updated
05/06/2011
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