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1639209448
MICHAEL L. RANDALL
COLUMBUS, GA
NPI
1639209448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AL PA-517)
Enumeration Date
2007-03-07
Last Update Date
2015-12-07
Business Address
-- MICHAEL L. RANDALL PA
101 13TH ST SUITE 200
COLUMBUS, GA 31901-2101
Phone number: 706-494-4949
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Mailing Address
-- MICHAEL L. RANDALL PA
PO BOX 1038
COLUMBUS, GA 31902-1038
Phone number: 706-494-4949
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