Georgemiller, Randy J.

Georgemiller, Randy J. is an individual health care provider with primary practice located at 300 E Hospital Rd Room 13A-10, Fort Gordon GA 30905-5650. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Georgemiller, Randy J. can be contacted via phone (706) 787-3143.

Contact Information

Primary practice address
300 E Hospital Rd Room 13A-10 Fort Gordon GA 30905-5650
Phone: (706) 787-3143
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-003110 Illinois
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY003859 Georgia

Profile Details

NPI number 1205904950
LBN Legal business name Georgemiller, Randy J.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Jul 20th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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