T Randall, CCM

NPI #1215622253 in Hampton, Georgia

Provider Information

NPI Number: 1215622253
Entity Type: Individual
Name: T Randall, CCM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Management
Credential: CCM
Enumeration Date: Apr 6, 2023
Last Updated: Apr 6, 2023

Practice Location

Address: 232 CAITLYN DR
City: Hampton
State: Georgia
ZIP Code: 30228-6017
Phone: (770) 885-2052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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