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Individual

RANDI LEE DETTLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
25500 POINT LOOKOUT RD, LEONARDTOWN, MD 20650-2015
(301) 475-8981
Mailing address
5700 TAILS CREEK RD, ELLIJAY, GA 30540-2911

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
01/07/2026
Last updated
01/07/2026
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