Dr Rqymond J Otis in Camilla - Primary Care
Dr Rqymond J Otis - NPI 1649449323
Dr Rqymond J Otis is a Primary Care in Camilla, Georgia. Dr Rqymond J Otis practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Dr Rqymond J Otis is 1649449323. The last update date is 2008-02-26.
Dr Rqymond J Otis's current location address is 24 N Ellis St, Camilla, Georgia. You can contact this provider via phone number 2293367343 and fax number 2293367400. The mailing address for Dr Rqymond J Otis is 24 N Ellis St, Camilla, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dr Rqymond J Otis |
|---|---|
| Address | 24 N Ellis St, Camilla, Georgia |
| Phone Number | 2293367343 |
| Fax Number | 2293367400 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Otis Jerry Raymond |
| Credentials | M.D. |
| Telephone Number | 2293367343 |
NPI Number Detail
| NPI Number | 1649449323 |
|---|---|
| Provider Enumeration Date | 2008-02-26 |
| Last Updated Date | 2008-02-26 |
Provider Mailing Address Detail
| Address | 24 N Ellis St |
|---|---|
| City | Camilla |
| State | Georgia (GA) |
| Post Code | 317301502 |
| Phone Number | 2293367343 |
| Fax Number | 2293367400 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | 42685 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0720266D | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Dr Rqymond J Otis by the Centers for Medicare & Medicaid Services?
The Dr Rqymond J Otis has been assigned the NPI (National Provider Identifier) 1649449323 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Dr Rqymond J Otis is physically located?
The Dr Rqymond J Otis is situated at the following address: 24 N Ellis St, Camilla, GA 317301502.
What is Dr Rqymond J Otis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dr Rqymond J Otis's area of specialization is Primary Care, and the corresponding taxonomy code that categorizes this field of practice is 261Qp2300X.
On what date did the Dr Rqymond J Otis receive the assignment of its 1649449323 from the Centers for Medicare & Medicaid Services?
The Dr Rqymond J Otis was issued its 1649449323 by the Centers for Medicare & Medicaid Services on 2008-02-26.
When was the information related to Dr Rqymond J Otis most recently updated or refreshed?
The details pertaining to the Dr Rqymond J Otis, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-02-26.