Randall, Michael L.

Randall, Michael L. is an individual health care provider with primary practice located at 101 13Th St Suite 200, Columbus GA 31901-2101. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Randall, Michael L. can be contacted via phone (706) 494-4949.

Contact Information

Primary practice address
101 13Th St Suite 200 Columbus GA 31901-2101
Phone: (706) 494-4949
Fax: (706) 494-4940
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-517 Alabama

Profile Details

NPI number 1639209448
LBN Legal business name Randall, Michael L.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Dec 7th, 2015 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639209448 NPPES
Alabama Other PA-517 STATE LICENSE
Alabama Other 005031 STATE LICENSE

Popular Providers