Individual
ROBERT RANDOLPH ADERHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
605 N WESTOVER BLVD, ALBANY, GA 31707-2188
(229) 434-4200
(229) 434-1488
Mailing address
605 N WESTOVER BLVD, ALBANY, GA 31707-2188
(229) 434-4200
(229) 434-1488
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
058941
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058941
MEDICAL LICENSE
GA
05
—
585829042B
—
GA
Enumeration date
03/26/2007
Last updated
03/07/2023
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