Elkins, Randell Leon

Elkins, Randell Leon is an individual health care provider with primary practice located at 701 Broad St Ste 350 , Rome GA 30161-3092. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Elkins, Randell Leon can be contacted via phone (706) 295-2028.

Contact Information

Primary practice address

701 Broad St Ste 350 Rome GA 30161-3092

Phone: (706) 295-2028

Fax: (706) 295-2062

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Clinical	103TC0700X	PSY000948	Georgia

Profile Details

NPI number	1194885475
LBN Legal business name	Elkins, Randell Leon
Credentials	PHD
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Dec 9th, 2006
Last updated	Jun 30th, 2020 - about 4 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.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1194885475	NPPES
Georgia	MEDICAID	000493083B

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