Organization
RANDY LENTZ MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY SCOTT LENTZ MD (PHYSICIAN)
(912) 385-2102
Entity
Organization
Contact information
Practice address
182 SUNSET BLVD, JESUP, GA 31545-0401
(912) 385-2102
Mailing address
182 SUNSET BLVD, JESUP, GA 31545-0401
(912) 385-2102
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
050500
GA
Other
Enumeration date
09/27/2014
Last updated
09/27/2014
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