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Organization
RIVERTOWN MEDICAL CLINIC
Active
Organization
RIVERTOWN MEDICAL CLINIC
Active
Other names
Urgent Care and Occupational Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN DONALD LOKKESMOE M.D. (OWNER/DOCOTR)
(706) 507-1213
Entity
Organization
Contact information
Practice address
4328 ARMOUR RD, COLUMBUS, GA 31904-5204
(706) 507-1213
(706) 507-1217
Mailing address
4328 ARMOUR RD, COLUMBUS, GA 31904-5204
(706) 507-1213
(706) 507-1217
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
GA032941
GA
Other
Enumeration date
08/17/2006
Last updated
06/25/2012
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