Aderhold, Robert Randolph

Aderhold, Robert Randolph is an individual health care provider with primary practice located at 605 N Westover Blvd , Albany GA 31707-2188. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Aderhold, Robert Randolph can be contacted via phone (229) 434-4200.

Contact Information

Primary practice address
605 N Westover Blvd Albany GA 31707-2188
Phone: (229) 434-4200
Fax: (229) 434-1488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 058941 Georgia

Profile Details

NPI number 1447377080
LBN Legal business name Aderhold, Robert Randolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447377080 NPPES
Georgia Other 058941 MEDICAL LICENSE
Georgia MEDICAID 585829042B MEDICAL LICENSE

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