Organization · Type 2 NPI
DR Raymond J Otis SR PC
Primary Care Clinic/Center · Camilla, GA
NPI number
1649449323
Active
Practice location
24 N Ellis St
Camilla, GA 31730-1502
Fax (229) 336-7400
Mailing address
PO Box 348
Camilla, GA 31730-0348
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | 42685 (GA) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
Other primary care clinic/center providers in Camilla
About NPI 1649449323
DR Raymond J Otis SR PC's National Provider Identifier is 1649449323, issued on Feb 26, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Camilla, GA. The record was last updated on May 28, 2024.