Organization
BI-COUNTY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND P FLOWERS III D.O. (OWNER)
(770) 949-3888
Entity
Organization
Contact information
Practice address
6128 PRESTLEY MILL RD STE D, DOUGLASVILLE, GA 30134-5622
(770) 949-3888
(770) 949-3504
Mailing address
6128 PRESTLEY MILL RD STE D, DOUGLASVILLE, GA 30134-5622
(770) 949-3888
(770) 949-3504
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
020701
GA
208000000X
Pediatrics Physician
Primary
058682
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30022158C
—
GA
Enumeration date
03/23/2007
Last updated
08/22/2020
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