Randy Georgemiller, Ph.d., P.c.

NPI #1265667935 in Martinez, Georgia

Provider Information

NPI Number
1265667935
Entity Type
Organization
Organization Name
Randy Georgemiller, Ph.d., P.c.
Primary Specialty
Psychologist - Clinical
Enumeration Date
May 23, 2009
Last Updated
Sep 5, 2013

Practice Location

Address
4115 COLUMBIA RD
Address 2
SUITE 5-305
State
Georgia
ZIP Code
30907-0405
Phone
(847) 913-5175

Authorized Official

Name
RANDY GEORGEMILLER, PH.D.
Title
PRESIDENT
Phone
(847) 913-5175

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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