Jarvis, Raymond Roderick

Jarvis, Raymond Roderick is an individual health care provider with primary practice located at 330 Turner Mccall Blvd Sw , Rome GA 30165-5630. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Jarvis, Raymond Roderick can be contacted via phone (706) 291-1754.

Contact Information

Primary practice address
330 Turner Mccall Blvd Sw Rome GA 30165-5630
Fax: (706) 291-2227
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 045505 Georgia

Profile Details

NPI number 1083775894
LBN Legal business name Jarvis, Raymond Roderick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Apr 27th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083775894 NPPES
Georgia MEDICAID 000790721A

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