Organization
PACKER MEDICAL SERVICES,LLC
Active
Other names
Packer Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MILFORD PACKER III M.D. (OWNER)
(912) 283-2311
Entity
Organization
Contact information
Practice address
709 KNIGHT AVE, WAYCROSS, GA 31501-1943
(912) 283-2311
(912) 283-8204
Mailing address
709 KNIGHT AVE, WAYCROSS, GA 31501-1943
(912) 283-2311
(912) 283-8204
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00151665C
—
GA
Enumeration date
01/24/2014
Last updated
05/08/2014
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