Individual
DR. RAYMOND J OTIS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 N ELLIS ST, CAMILLA, GA 31730-1502
(229) 336-7343
(229) 336-7400
Mailing address
PO BOX 348, 24 NORTH ELLIS STREET, CAMILLA, GA 31730-0348
(229) 336-7343
(229) 336-7400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042685
GA
Other
Enumeration date
07/17/2006
Last updated
05/21/2024
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