Individual
DR. RANDY LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
182 SUNSET BLVD, JESUP, GA 31545-0401
(912) 385-2102
(912) 385-2180
Mailing address
182 SUNSET BLVD, JESUP, GA 31545-0401
(912) 385-2102
(912) 385-2180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
050500
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000920323A
—
GA
Enumeration date
06/23/2005
Last updated
08/31/2023
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