Randall, Tyler Lincoln

Randall, Tyler Lincoln is an individual health care provider with primary practice located at 1061 Harmon Ave , Fort Stewart GA 31314-5641. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Randall, Tyler Lincoln can be contacted via phone (912) 435-6965.

Contact Information

Primary practice address
1061 Harmon Ave Fort Stewart GA 31314-5641
Phone: (912) 435-6965
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1245757533
LBN Legal business name Randall, Tyler Lincoln
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2017
Last updated Feb 5th, 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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