Individual
MR. LEWIS ALLEN RABORN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4757 REMINGTON PL, MARTINEZ, GA 30907-1279
(706) 799-7884
Mailing address
4757 REMINGTON PL, MARTINEZ, GA 30907-1279
(706) 799-7884
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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