RAYMOND L. STOVALL, M.D., P.C.
Osteopathic Medicine at Professional Dr, Lawrenceville, GA

License number
Georgia 025291
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. RAYMOND L STOVALL M.D.
Title: OWNER
Phone: (678) 376-1800
Address
Address
600 Professional Dr SUITE 150, Lawrenceville, GA 30045
National Provider ID: 1003826041
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RAYMOND L. STOVALL, M.D., PC

Lawrenceville, GA

Doing business as:
Raymond L Stovall MD
Registration:
Jul 18, 2002
Phone:
(678) 376-5858 (Phone)
Addresses:
575 Professional Dr STE 310, Lawrenceville, GA 30046 (Physical)
600 Professional Dr STE 150, Lawrenceville, GA 30046
State ID:
0236741
Business type:
Domestic Professional Corporation
CFO:
L. Raymond Stovall (CFO), 575 Professional Dr SUITE 310, Lawrenceville, GA 30046 (Physical)
Agent:
Raymond L. Stovall,575 Professional Dr STE 310, Lawrenceville, GA (Physical)
Categories:
Internal Medicine Physicians & Surgeons, Physicians & Surgeons

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