Sides, Randall William
Sides, Randall William is an individual health care provider with primary practice located at Martin Army 6600 Van Aalst Blvd, Bldg 9250, Fort Moore GA 31905. 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. Sides, Randall William can be contacted via phone (762) 408-0374.Contact Information
Primary practice address
Martin Army 6600 Van Aalst Blvd, Bldg 9250
Fort Moore GA 31905
Phone: (762) 408-0374
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT012909 | Georgia |
Profile Details
| NPI number | 1386173961 |
|---|---|
| LBN Legal business name | Sides, Randall William |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2017 |
| Last updated | Apr 17th, 2024 - about last year |
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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