Organization
RST GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCO A AYULO M.D. (PRESIDENT)
(912) 283-6152
Entity
Organization
Contact information
Practice address
501 RIVERSIDE DR, WAYCROSS, GA 31501-5316
(912) 283-6152
(912) 283-5264
Mailing address
6300 POWERS FERRY RD NW, SUITE 600-172, ATLANTA, GA 30339-2919
(912) 283-6152
(912) 283-5264
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/11/2008
Last updated
11/14/2008
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