Individual
KRISTIN RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 JESSE JEWELL PKWY SW, GAINESVILLE, GA 30501-4321
(866) 389-2727
Mailing address
4765 FAIRWAYS LN, JEFFERSON, GA 30549-8836
(770) 654-3532
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN257493
GA
Other
Enumeration date
02/03/2022
Last updated
04/25/2022
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