Pohjola, Randall M

Pohjola, Randall M is an individual health care provider with primary practice located at 1459 Laney Walker Blvd Ad1501, Augusta GA 30912-0002. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pohjola, Randall M can be contacted via phone (706) 721-0502.

Contact Information

Primary practice address
1459 Laney Walker Blvd Ad1501 Augusta GA 30912-0002
Fax: (706) 721-6778
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN000292 Georgia

Profile Details

NPI number 1750337846
LBN Legal business name Pohjola, Randall M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jul 9th, 2007 - about 17 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

StateTypeNumberIssuer
All States NPI 1750337846 NPPES
South Carolina MEDICAID ZG0292

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