Bottner, Randy Kyle
Bottner, Randy Kyle is an individual health care provider with primary practice located at 6301 Abercorn St , Savannah GA 31405-5701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bottner, Randy Kyle can be contacted via phone (912) 352-8700.Contact Information
Primary practice address
6301 Abercorn St
Savannah GA 31405-5701
Phone: (912) 352-8700
Fax: (912) 650-6805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 035381 | Georgia |
Profile Details
| NPI number | 1780673921 |
|---|---|
| LBN Legal business name | Bottner, Randy Kyle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Jun 12th, 2015 - about 9 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780673921 | NPPES |
| Georgia | MEDICAID | 00495855J | |
| Georgia | MEDICAID | 000495855A |
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