Provider Demographics
NPI:1215911102
Name:RANTZ, DARL WAYNE (MD)
Entity type:Individual
Prefix:DR
First Name:DARL
Middle Name:WAYNE
Last Name:RANTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1630 WESLEYAN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-1042
Mailing Address - Country:US
Mailing Address - Phone:478-757-4231
Mailing Address - Fax:478-745-8611
Practice Address - Street 1:2192 INGLESIDE AVE
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31204-2030
Practice Address - Country:US
Practice Address - Phone:478-745-9880
Practice Address - Fax:478-745-8611
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA040767207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine