Individual
MR. RANDY ROBERT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
318 S WELBORN ST, HINESVILLE, GA 31313-3127
(912) 332-5145
Mailing address
250 SUMMER HILL WAY, RICHMOND HILL, GA 31324-4531
(423) 277-1458
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10452
GA
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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