Doctor Name: | JOY DALYN RANKIN |
NPI Number: | 1710186077 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 71274 |
Business Practice Address: | 365 Geneva Rd Buena Vista, GA - 318031701 |
Business Phone Number: | 2296492171 |
Business Fax Number: | 2296492524 |
Mailing Address: | Po Box 417, 365 Geneva Road BUENA VISTA |
State: | GA |
Postal Code: | 318030417 |
Phone Number: | 2296492171 |
Fax Number: | 2296492524 |
NPI Enumeration Date: | 07/16/2007 |
NPI Last Update Date: | 06/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 71274 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |