Sumner, Randolph P

Sumner, Randolph P is an individual health care provider with primary practice located at 1825 Martha Berry Blvd Nw , Rome GA 30165-1625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sumner, Randolph P can be contacted via phone (706) 290-9222.

Contact Information

Primary practice address
1825 Martha Berry Blvd Nw Rome GA 30165-1625
Fax: (706) 290-0045
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 028323 Georgia

Profile Details

NPI number 1700871555
LBN Legal business name Sumner, Randolph P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated May 5th, 2020 - about 4 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 1700871555 NPPES
Georgia MEDICAID 000320955G
Georgia MEDICAID 000320955E
Georgia MEDICAID 000320955A
Georgia MEDICAID 000320955F

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