Individual
DR. WILLIAM THOBURN RANDAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9 HIGHGATE W, AUGUSTA, GA 30909-3109
(208) 416-2932
(855) 673-9190
Mailing address
22100 BOTHELL EVERETT HWY, BOTHELL, WA 98021-8431
(208) 416-2932
(855) 673-9190
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101257809
VA
2085R0202X
Diagnostic Radiology Physician
Primary
081756
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003215681
—
GA
Enumeration date
06/18/2010
Last updated
08/30/2023
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