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Individual

MR. RAYMOND HOWARD III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
107 JOHN MADDOX DRIVE, ROME, GA 30165-1494
(706) 235-0116
(706) 235-5533
Mailing address
107 JOHN MADDOX DRIVE, ROME, GA 30165-1494
(706) 235-0116
(706) 235-5533

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
51145
GA
207YS0123X
Facial Plastic Surgery Physician
051145
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00941399A
GA
Enumeration date
08/24/2005
Last updated
01/20/2022
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