Provider Demographics
NPI:1902986912
Name:RAWLS, JOYCE A (MD)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:A
Last Name:RAWLS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4048
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31208-4048
Mailing Address - Country:US
Mailing Address - Phone:478-744-0010
Mailing Address - Fax:478-744-0099
Practice Address - Street 1:1062 FORSYTH ST
Practice Address - Street 2:STE 2E
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-8637
Practice Address - Country:US
Practice Address - Phone:478-744-0010
Practice Address - Fax:478-744-0099
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGA034045207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E85394Medicare UPIN
16BDBXDMedicare ID - Type Unspecified