Individual
ERICKSON RAY GALVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425-8905
(843) 792-2911
Mailing address
750 TOWNPARK LN NW, KENNESAW, GA 30144-5579
(404) 365-0966
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
88788
GA
207R00000X
Internal Medicine Physician
LL52841
SC
Other
Enumeration date
06/22/2018
Last updated
01/18/2022
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