Individual
MR. RANDALL COLBY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP-C
Contact information
Practice address
57 MARTIN LUTHER KING DR, REYNOLDS, GA 31076-2946
(478) 825-3317
(478) 825-5499
Mailing address
250 MARTIN LUTHER KING JR BLVD, MACON, GA 31201-3490
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN248861
GA
Other
Enumeration date
07/14/2016
Last updated
07/03/2024
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