Individual provider · Type 1 NPI

Willie P. Rajvong

Student in an Organized Health Care Education/Training Program · Statesboro, GA

NPI number 1992373013 Active

Practice location

1332 Southern Dr
Statesboro, GA 30460-1360

Call (912) 478-4636 Map

Mailing address

350 Rucker Ln Apt 555
Statesboro, GA 30458-3241

Specialties and licenses

TaxonomyCodeLicense
Medical Technologist 246QM0706XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992373013

Willie P. Rajvong's National Provider Identifier is 1992373013, issued on Jun 15, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Statesboro, GA. The record was last updated on Jun 15, 2021.