Simmons, Randol Brock
Simmons, Randol Brock is an individual health care provider with primary practice located at 2311 Lake Park Dr , Albany GA 31707-3183. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Simmons, Randol Brock can be contacted via phone (229) 435-0525.Contact Information
Primary practice address
2311 Lake Park Dr
Albany GA 31707-3183
Phone: (229) 435-0525
Fax: (229) 434-9827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PT009819 | Georgia |
Profile Details
| NPI number | 1588939060 |
|---|---|
| LBN Legal business name | Simmons, Randol Brock |
| Credentials | D.P.T. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2012 |
| Last updated | Mar 15th, 2012 - about 12 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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