Individual
PORCHIA RAWLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 569-0727
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 569-0727
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
582108870
SELF
GA
Enumeration date
04/25/2016
Last updated
04/25/2016
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