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Individual

DR. RANDOLPH H KALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
233 ATLANTA RD, CUMMING, GA 30040-2609
(770) 888-4600
Mailing address
233 ATLANTA RD, CUMMING, GA 30040-2609
(770) 888-4600

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1077
SC
111N00000X
Chiropractor
Primary
9110
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AA07670281
PTAN
Enumeration date
05/01/2007
Last updated
10/10/2013
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