NPI 1205810884

Rose P Draviam, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Brunswick, GA

Practice location

Address: 3011 Hampton Ave, Brunswick, GA 31520-4264
Phone: (912) 261-2669
Fax: (912) 261-0561
Mailing address: PO Box 30309, Charleston, SC 29417-0309

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 049290 (GA)

Other Pathology providers in Georgia →

Registry record

NPI: 1205810884
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Dec 2005
Record last updated: 29 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.