Individual
RHONDA RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1810 MULKEY RD STE 200, AUSTELL, GA 30106-1150
(770) 944-0811
(770) 944-0829
Mailing address
1810 MULKEY RD STE 200, AUSTELL, GA 30106-1150
(770) 944-0811
(770) 944-0829
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
088363 RN
GA
Other
Enumeration date
01/18/2008
Last updated
01/18/2008
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