Individual
REBEKAH RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W HOSPITAL RD, FORT EISENHOWER, GA 30905-5741
(210) 687-1144
Mailing address
300 W HOSPITAL RD, FORT EISENHOWER, GA 30905-5741
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP129688
TX
Other
Enumeration date
12/16/2015
Last updated
04/23/2025
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