Mccarthy, Randall W

Mccarthy, Randall W is an individual health care provider with primary practice located at 711 Knight Ave , Waycross GA 31501-1943. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Mccarthy, Randall W can be contacted via phone (912) 283-9423.

Contact Information

Primary practice address
711 Knight Ave Waycross GA 31501-1943
Phone: (912) 283-9423
Fax: (912) 283-2946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 000666 Georgia

Profile Details

NPI number 1891875878
LBN Legal business name Mccarthy, Randall W
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jun 11th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891875878 NPPES
Georgia Other 1891875878 MEDICARE NPI
Georgia MEDICAID 476568664A MEDICARE NPI
Georgia Other CG6045 MEDICARE NPI

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