Organization
LIGHTHOUSE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL E RABER DO (OWNER PHYSICIAN)
(706) 377-3349
Entity
Organization
Contact information
Practice address
12134 AUGUSTA RD, STE A, LAVONIA, GA 30553-1208
(706) 377-3349
Mailing address
12134 AUGUSTA RD, LAVONIA, GA 30553-1208
(706) 356-1422
(706) 356-1425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042704
GA
Other
Enumeration date
11/21/2006
Last updated
06/14/2016
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