Individual
RANDY C LAVENDER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2470 DANIELLS BRIDGE RD STE 301, ATHENS, GA 30606-6188
(706) 389-3590
(706) 389-3811
Mailing address
PO BOX 48089, ATHENS, GA 30604-8089
(706) 389-3590
(706) 389-3811
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
93479
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003276101D
—
GA
Enumeration date
05/23/2013
Last updated
03/05/2026
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