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WILLIE P RAJVONG
NPI 1992373013
Student in an Organized Health Care Education/Training Program in Statesboro, GA

Active since June 15, 2021
1332 SOUTHERN DR, STATESBORO, GA 30460(912) 478-4636 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willie P Rajvong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIE P RAJVONG (NPI 1992373013) is an individual student in an organized health care education/training program in Statesboro, Georgia and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1992373013
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWILLIE P RAJVONG
Location Address1332 SOUTHERN DRStatesboro, GA 30460-1360
Mailing Address350 Rucker Ln Apt 555Statesboro, GA 30458-3241 · (615) 809-6525
Phone(912) 478-4636
Sole ProprietorYes
Enumeration DateJune 15, 2021
NPPES CertifiedJune 15, 2021
✔ NPI 1992373013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist, Pathology · Medical TechnologistTaxonomy 246QM0706X
1332 SOUTHERN DR, Statesboro, GA 30460
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBER STROUD
Registered Nurse (Neonatal Intensive Care)
1332 SOUTHERN DR
STATESBORO, GA 30460
Bulloch County (912) 478-4636
BENJAMIN BOATENG
Student in an Organized Health Care Education/Training Program
1332 SOUTHERN DR
STATESBORO, GA 30460
Bulloch County (912) 478-4636
I-SA NI-KOLE SCOTT
Student in an Organized Health Care Education/Training Program
1332 SOUTHERN DR
STATESBORO, GA 30460
Bulloch County (912) 486-4636
MISS TAMERA ALEXIS HARRIS
Specialist/Technologist (Athletic Trainer)
1332 SOUTHERN DR
STATESBORO, GA 30460
Bulloch County (757) 921-1049
NIANA HADDOCK
Specialist/Technologist (Athletic Trainer)
1332 SOUTHERN DR
STATESBORO, GA 30460
Bulloch County (912) 478-3646
CARLY NICOLE ROUTMAN ATC
Specialist/Technologist (Athletic Trainer)
1332 SOUTHERN DR
STATESBORO, GA 30460
Bulloch County (561) 685-5353
AURELIA ASARE
Student in an Organized Health Care Education/Training Program
1332 SOUTHERN DR
STATESBORO, GA 30460
Bulloch County (912) 478-1448
CHRISTOPHER HUGHES PEREZ
Student in an Organized Health Care Education/Training Program
1332 SOUTHERN DR
STATESBORO, GA 30460
Bulloch County (912) 478-4636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willie Rajvong's NPI number?

The NPI number for Willie Rajvong is 1992373013. It was assigned to this individual provider in the NPPES registry on June 15, 2021.

Where is Willie Rajvong located?

Willie Rajvong practices at 1332 Southern Dr, Statesboro, GA 30460. The listed phone number is (912) 478-4636.

What is Willie Rajvong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Willie Rajvong was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.