Individual
MR. RANDALL E CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2225 US HIGHWAY 41 N, TIFTON, GA 31794-2749
(229) 391-4100
Mailing address
907 18TH ST E STE 400, TIFTON, GA 31794-3684
(229) 353-3422
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002744
GA
Other
Enumeration date
05/09/2007
Last updated
03/23/2021
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