person
Michael L. Randall, PA
Medical Physician Assistant in Columbus, Georgia
NPI 1639209448

Michael L. Randall is a Medical Physician Assistant based in Columbus, GA and is specialized in Medical. Michael L. Randall practices in Columbus, GA and has the professional credentials of PA. The NPI Number for Michael L. Randall is 1639209448 and holds a License No. PA-517 (Georgia).

The current practice location address for Michael L. Randall is 101 13Th St, Columbus, GA and can be reached out via phone at 706-494-4949 and via fax at 706-494-4940.

Location: 101 13Th St, Columbus, GA, 31902-1038
person
Provider Profile Details
NPI Number
1639209448
Provider Name
Michael L. Randall
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
101 13Th St, Columbus, GA, 31902-1038
Phone Number
706-494-4949
Fax Number
706-494-4940
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA-517 01 AL STATE LICENSE
005031 01 GA LICENSE
institution
Provider Business Practice Location Address Details
Address
101 13Th St
City
State
Zip
31901-2101
Phone Number
706-494-4949
Fax Number
706-494-4940
person
Provider Business Mailing Address Details
Address
101 13Th St
City
State
Zip
31901-2101
Phone Number
706-494-4949
Fax Number
706-494-4940
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-517 (Alabama)
Definition
Definition to come...
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