| Dr Randolph Martin Capocasale, MD | |
|
1061 Harmon Ave, 1do3, Ft Stewart, GA 31314-5604 | |
| (912) 435-6123 | |
| (912) 435-6053 |
| Full Name | Dr Randolph Martin Capocasale |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 1061 Harmon Ave, Ft Stewart, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053393314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 03929 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randolph Martin Capocasale, MD 1061 Harmon Ave, 1do3, Ft Stewart, GA 31314-5604 Ph: (912) 435-6123 | Dr Randolph Martin Capocasale, MD 1061 Harmon Ave, 1do3, Ft Stewart, GA 31314-5604 Ph: (912) 435-6123 |
Mr. Sean Patrick Dewinter, LISW Counselor Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave Suite 1d03, Ft Stewart, GA 31314 Phone: 912-435-6965 | |
Mrs. Virginia L. White, LMFT,LPC, CCS, CACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Suite 1d03, Ft Stewart, GA 31314 Phone: 912-767-5260 Fax: 912-767-5271 |