Search › Georgia › 390200000X
Willie Rajvong
NPI 1992373013 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1332 Southern Dr
Statesboro, GA 30460 - Phone
- (912) 478-4636
- Clinicians at this address
- 74
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 246QM0706X
- Sex
- Male
- Record last updated
- 2021-06-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia