# RIVERTOWN MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Urgent Care and Occupational Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962516120
- **Authorized official:** DR. KEVIN DONALD LOKKESMOE M.D. (OWNER/DOCOTR)
- **Authorized official phone:** (706) 507-1213

## Contact information

- **Practice address:** 4328 ARMOUR RD, COLUMBUS, GA 31904-5204
- **Practice address phone:** (706) 507-1213
- **Practice address fax:** (706) 507-1217
- **Mailing address:** 4328 ARMOUR RD, COLUMBUS, GA 31904-5204
- **Mailing address phone:** (706) 507-1213
- **Mailing address fax:** (706) 507-1217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | GA032941 | GA | Yes |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 06/25/2012
