Morgan, Randell Armond

Morgan, Randell Armond is an individual health care provider with primary practice located at 1194 147Th St Ste 5 , Monticello GA 31064-8068. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Morgan, Randell Armond can be contacted via phone (678) 270-8284.

Contact Information

Primary practice address
1194 147Th St Ste 5 Monticello GA 31064-8068
Phone: (678) 270-8284
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 3027 Georgia

Profile Details

NPI number 1790320711
LBN Legal business name Morgan, Randell Armond
Credentials CAC II, GCADC II
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2019
Last updated Nov 13th, 2019 - about 7 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 1790320711 NPPES
Other 000000000 I DONT HAVE ANY NUMBERS

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