Organization
DR R MCEWAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD P MCEWAN MD (PRESIDENT)
(912) 265-6711
Entity
Organization
Contact information
Practice address
160 JUNIPER COURT, SUITE 101, BRUNSWICK, GA 31520
(912) 265-6711
(912) 265-6713
Mailing address
160 JUNIPER COURT, SUITE 101, BRUNSWICK, GA 31520
(912) 265-6711
(912) 265-6713
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
035688
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00516018A
—
GA
Enumeration date
09/15/2006
Last updated
07/17/2009
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