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Individual

DR. RANDALL L DEARMENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
902 W WASHINGTON ST, ATHENS, AL 35611-2438
(256) 216-9777
(256) 233-9776
Mailing address
902 W WASHINGTON ST, ATHENS, AL 35611-2438
(256) 216-9777
(256) 233-9776

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101006945
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5198640
MI
Enumeration date
12/27/2005
Last updated
11/08/2012
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