MEDICARE: RAYMOND F TOPP MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	67817	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0101058426	OTHER	VA	LICENSE
2	67817	OTHER	GA	GA LICENSE

General Provider Information

NPI Number	:	1780620211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYMOND F TOPP MD

Provider Business Mailing Address
First Line	:	3231 GLYNN AVE
Second Line	:
City	:	BRUNSWICK
State	:	GA
Zip	:	31520-4851
Country	:	US
Telephone Number	:	912-265-9006
Fax Number	:	912-554-3636

Provider Business Practice Location Address
First Line	:	3231 GLYNN AVE
Second Line	:
City	:	BRUNSWICK
State	:	GA
Zip	:	31520-4851
Country	:	US
Telephone Number	:	912-265-9006
Fax Number	:	912-554-3636

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	01/10/2014

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Directions to “ RAYMOND F TOPP MD” Practice Location

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