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1023148061
RANDALL JAMES DISHAW
ATHENS, GA
NPI
1023148061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: GA 1986)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
Dr. RANDALL JAMES DISHAW D.C.
270 HAWTHORNE AVE
ATHENS, GA 30606-2881
Phone number: 706-353-7779
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Mailing Address
Dr. RANDALL JAMES DISHAW D.C.
171 PINECREST TER
ATHENS, GA 30606-2447
Phone number: 706-613-1125
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