Colvin, Randall K
Colvin, Randall K is an individual health care provider with primary practice located at 1701 Magnolia Way Ste 101, Augusta GA 30909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Colvin, Randall K can be contacted via phone (706) 922-6600.Contact Information
Primary practice address
1701 Magnolia Way Ste 101
Augusta GA 30909
Phone: (706) 922-6600
Fax: (706) 650-0239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 060165 | Georgia |
Profile Details
| NPI number | 1124078118 |
|---|---|
| LBN Legal business name | Colvin, Randall K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | May 23rd, 2024 - about 4 months 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 | 1124078118 | NPPES |
| South Carolina | MEDICAID | T26638 | |
| South Carolina | Other | 060165 |
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