Individual
DR. RANDALL MILLER MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
811 13TH ST, SUITE 20, AUGUSTA, GA 30901-2700
(706) 722-3401
(706) 724-6540
Mailing address
811 13TH ST, SUITE 20, AUGUSTA, GA 30901-2700
(706) 722-3401
(706) 724-6540
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
050821
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
715601961A
—
GA
Enumeration date
12/22/2006
Last updated
08/20/2007
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