Randall, Andrew O
Randall, Andrew O is an sole proprietor health care provider with primary practice located at 275 Wisteria Blvd , Covington GA 30016-7208. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Randall, Andrew O can be contacted via phone (770) 788-1963.Contact Information
Primary practice address
275 Wisteria Blvd
Covington GA 30016-7208
Phone: (770) 788-1963
Fax: (770) 788-1963
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3600 | Georgia |
Profile Details
NPI number | 1316023419 |
---|---|
LBN Legal business name | Randall, Andrew O |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 31st, 2006 |
Last updated | Jul 8th, 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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