Individual
LYRA O RATMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 PROFESSIONAL DR, MACON, GA 31201-1411
(478) 741-3007
(478) 314-0607
Mailing address
550 PROFESSIONAL DR, MACON, GA 31201-1411
(478) 741-3007
(478) 314-0607
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042111
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000785837B
—
GA
01
—
52727400
BCBS
GA
Enumeration date
05/05/2006
Last updated
09/29/2011
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