person
Mr. Rallie D Cogburn SR., PA
Medical Physician Assistant in Macon, Georgia
NPI 1548265549

Rallie D Cogburn SR. is a Medical Physician Assistant based in Macon, GA and is specialized in Medical. Rallie D Cogburn SR. practices in Macon, GA and has the professional credentials of PA. The NPI Number for Rallie D Cogburn SR. is 1548265549 and holds a License No. 003476 (Georgia).

The current practice location address for Rallie D Cogburn SR. is 6070 Lakeside Commons Dr, Macon, GA and can be reached out via phone at 478-254-2644 and via fax at 478-254-4924.

Location: 6070 Lakeside Commons Dr, Macon, GA, 31221-6790
person
Provider Profile Details
NPI Number
1548265549
Provider Name
Rallie D Cogburn SR.
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
6070 Lakeside Commons Dr, Macon, GA, 31221-6790
Phone Number
478-254-2644
Fax Number
478-254-4924
Provider Enumeration Date
06/16/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
100002802A 05 GA
100002802B 05 GA
00317358L 05 GA
institution
Provider Business Practice Location Address Details
Address
6070 Lakeside Commons Dr
City
State
Zip
31210-5778
Phone Number
478-254-2644
Fax Number
478-254-4924
person
Provider Business Mailing Address Details
Address
6070 Lakeside Commons Dr
City
State
Zip
31210-5778
Phone Number
478-254-2644
Fax Number
478-254-4924
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
003476 (Georgia)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Macon, Georgia: