Individual
DENISE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
218 W VICTORY DR STE 8, SAVANNAH, GA 31405-1718
(470) 727-1176
Mailing address
12503 CRANWOOD LN, SAVANNAH, GA 31419-2656
(470) 727-1176
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
821222647
—
GA
Enumeration date
12/30/2014
Last updated
02/09/2026
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