Individual
YASMEEN RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 APOLLO DR SW, ATLANTA, GA 30331-7221
(678) 677-3531
Mailing address
1150 APOLLO DR SW, ATLANTA, GA 30331-7221
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001514
GA
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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