Individual
MR. ULYS RANDALL RINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
855 W BROAD ST STE A, ATHENS, GA 30601-2511
(706) 621-7575
(833) 305-0340
Mailing address
1061 DOWDY ROAD, SUITE 101, ATHENS, GA 30606-3819
(706) 621-7575
(833) 305-0340
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000207
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427184654
REDDY MEDICAL GROUP, LLC
GA
Enumeration date
03/13/2009
Last updated
12/09/2024
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