Organization
SANDERSVILLE SURGICAL
Active
Other names
RAWL SOUTHERN SURGICAL LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS K RAWL MD (MD)
(478) 553-0232
Entity
Organization
Contact information
Practice address
501 SPARTA RD STE C, SANDERSVILLE, GA 31082-1314
(478) 553-0232
(478) 553-1280
Mailing address
501 SPARTA RD STE C, SANDERSVILLE, GA 31082-1314
(478) 553-0232
(478) 553-1280
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
054030
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SECURE
RAW001
GA
01
—
WELLCARE
360483
GA
Enumeration date
01/22/2007
Last updated
08/22/2020
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