DR. Randall William Sides, PT

NPI #1386173961 in Fort Moore, Georgia

Provider Information

NPI Number: 1386173961
Entity Type: Individual
Name: DR. Randall William Sides, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jun 7, 2017
Last Updated: Apr 17, 2024

Practice Location

Address: MARTIN ARMY
Address 2: 6600 VAN AALST BLVD, BLDG 9250
City: Fort Moore
State: Georgia
ZIP Code: 31905
Phone: (762) 408-0374

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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