Humphrey, Thomas Randall

Humphrey, Thomas Randall is an individual health care provider with primary practice located at 1357 Hembree Rd Suite 250, Roswell GA 30076-5722. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Humphrey, Thomas Randall can be contacted via phone (770) 475-7550.

Contact Information

Primary practice address
1357 Hembree Rd Suite 250 Roswell GA 30076-5722
Phone: (770) 475-7550
Fax: (770) 343-9080
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001599 Georgia

Profile Details

NPI number 1164733697
LBN Legal business name Humphrey, Thomas Randall
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2010
Last updated Jan 20th, 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.

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