Individual
DR. STEPHEN N RANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
770 PINE ST, STE 290, MACON, GA 31201
(478) 633-1257
Mailing address
PO BOX 4808, MACON, GA 31213
(478) 477-8955
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
014091
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00006905A
—
GA
Enumeration date
10/24/2005
Last updated
07/08/2007
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