Warner, Randy T
Warner, Randy T is an sole proprietor health care provider with primary practice located at 690 Dallas Hwy Ste 201 , Villa Rica GA 30180-1263. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Warner, Randy T can be contacted via phone (678) 840-8444.Contact Information
Primary practice address
690 Dallas Hwy Ste 201
Villa Rica GA 30180-1263
Phone: (678) 840-8444
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 053905 | Georgia |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME158536 | Florida |
Profile Details
| NPI number | 1144380056 |
|---|---|
| LBN Legal business name | Warner, Randy T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jun 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144380056 | NPPES |
| Georgia | MEDICAID | 331834718A |
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