| Organization Name: | RABUN MEDICAL CENTER, LLC |
| NPI Number: | 1740310614 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | M. KATHY EASTERLING (PRESIDENT) |
| Mailing Address: | 773 N Main St Clayton |
| State: | GA US |
| Postal Code: | 305254257 |
| Phone Number: | 7067820468 |
| Fax Number: | 7067821488 |
| NPI Enumeration Date: | 03/07/2007 |
| NPI Last Update Date: | 05/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 051960 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |