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1164733697
THOMAS RANDALL HUMPHREY
ROSWELL, GA
NPI
1164733697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 001599)
Enumeration Date
2010-06-30
Last Update Date
2015-01-20
Business Address
Mr. THOMAS RANDALL HUMPHREY PA
1357 HEMBREE RD SUITE 250
ROSWELL, GA 30076-5722
Phone number: 770-475-7550
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Mailing Address
Mr. THOMAS RANDALL HUMPHREY PA
1930 BRANNAN RD
MCDONOUGH, GA 30253-4310
Phone number: 678-284-4040
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