Organization
RTG MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF MAXXON (RECRUITER)
(402) 970-8001
Entity
Organization
Contact information
Practice address
400 N ASH AVE, DEMOPOLIS, AL 36732-2444
(205) 391-7382
Mailing address
400 N ASH AVE, DEMOPOLIS, AL 36732-2444
(205) 391-7382
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
749
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5663186
DRIVERS LICENSE
AL
Enumeration date
05/30/2007
Last updated
08/18/2008
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