Raymundo V Teheng, MD

Individual provider Active NPI Obstetrics & Gynecology Physician · Claxton, GA

NPI 1467446997 · NPPES record last updated Jan 21, 2008

Key facts

NPI
1467446997
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
021208 (GA)
Practice address
602 E Long St
Claxton, GA 30417-5914
Phone
(912) 739-2509
Fax
(912) 739-4989
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Memorial Hospital, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 021208 GA Yes

Addresses

Primary practice location

602 E Long St
Claxton, GA 30417-5914

Mailing address

200 N River St
Claxton, GA 30417-1659
Phone (912) 739-2509

Other providers in Claxton, GA

All providers in Claxton, GA · Obstetrics & Gynecology Physician in Georgia

Sources for this page

Verify at the official NPI Registry.