Randle, Victoria

Randle, Victoria is an individual health care provider with primary practice located at 6130 Hotel St , Austell GA 30106-4623. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Randle, Victoria can be contacted via phone (770) 726-3577.

Contact Information

Primary practice address
6130 Hotel St Austell GA 30106-4623
Phone: (770) 726-3577
Fax: (770) 522-6228
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN199251 Georgia

Profile Details

NPI number 1083083810
LBN Legal business name Randle, Victoria
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2015
Last updated Jun 26th, 2025 - about last year

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 1083083810 NPPES
Georgia MEDICAID 003167991K

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