Organization
RANDY GEORGEMILLER, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY GEORGEMILLER PH.D. (PRESIDENT)
(847) 913-5175
Entity
Organization
Contact information
Practice address
4115 COLUMBIA RD, SUITE 5-305, MARTINEZ, GA 30907-0405
(847) 913-5175
Mailing address
4115 COLUMBIA RD, SUITE 5-305, MARTINEZ, GA 30907-0405
(847) 913-5175
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071003110
IL
Other
Enumeration date
05/23/2009
Last updated
09/05/2013
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