Provider Demographics
NPI:1386647436
Name:RAWLINGS, ERMAN FRANKLIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ERMAN
Middle Name:FRANKLIN
Last Name:RAWLINGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3430 BIENVILLE BLVD
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-5732
Mailing Address - Country:US
Mailing Address - Phone:228-875-6658
Mailing Address - Fax:228-875-0809
Practice Address - Street 1:3430 BIENVILLE BLVD
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-5732
Practice Address - Country:US
Practice Address - Phone:228-875-6658
Practice Address - Fax:228-875-0809
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS08831207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09015682Medicaid
MS00017663Medicaid
CI2398OtherMEDICARE RAILROAD
B66114Medicare UPIN
MS180000017Medicare ID - Type Unspecified
MS09015682Medicaid
0746400002Medicare NSC