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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD7615
RAILROAD MEDICARE
—
Enumeration date
12/17/2007
Last updated
10/09/2020
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