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Individual

DR. RANDOLPH MARTIN CAPOCASALE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1061 HARMON AVE, 1DO3, FT STEWART, GA 31314-5604
(912) 435-6123
(912) 435-6053
Mailing address
1061 HARMON AVE, 1DO3, FT STEWART, GA 31314-5604
(912) 435-6123
(912) 435-6053

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
03929
GA

Other

Enumeration date
11/14/2005
Last updated
07/08/2007
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