Individual
MR. RAUL K RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
155 BRIGHTON CT SW, MARIETTA, GA 30064-4622
(404) 723-7285
Mailing address
155 BRIGHTON CT SW, MARIETTA, GA 30064-4622
(404) 723-7285
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
MT001492
GA
175F00000X
Naturopath
MT001492
GA
225700000X
Massage Therapist
Primary
MT001492
GA
Other
Enumeration date
06/11/2007
Last updated
02/20/2009
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