SHELBY JOYCE RANDALL

AUGUSTA, GA
NPI1851954424
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CA  20A20015)
Additional Taxonomies207PT0002X Emergency Medicine, Medical Toxicology
(Licence: CA  20A20015)
207RA0401X Internal Medicine, Addiction Medicine
(Licence: CA  20A20015)
207P00000X Emergency Medicine
(Licence: GA  10796)
Enumeration Date2019-04-18
Last Update Date2024-10-17
Business Address
SHELBY JOYCE RANDALL DO
1459 LANEY WALKER BLVD
AUGUSTA, GA 30912-0002
Phone number: 916-626-2206
Mailing Address
SHELBY JOYCE RANDALL DO
2178 AMHERST WAY
EL DORADO HILLS, CA 95762-5943
Phone number: 916-626-2206