Victoria Randle, NP-C | |
6130 Hotel St, Austell, GA 30106-4623 | |
(770) 726-3577 | |
(770) 522-6228 |
Full Name | Victoria Randle |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 6130 Hotel St, Austell, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083083810 | NPI | - | NPPES |
003167991K | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | RN199251 (Georgia) | Primary |
Entity Name | Hero Institute Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316643315 PECOS PAC ID: 0042677296 Enrollment ID: O20230605000779 |
Mailing Address | Practice Location Address |
---|---|
Victoria Randle, NP-C 5284 Floyd Rd Sw Unit 842, Mableton, GA 30126-6106 Ph: (770) 726-3577 | Victoria Randle, NP-C 6130 Hotel St, Austell, GA 30106-4623 Ph: (770) 726-3577 |
Dr. Erica Judge Edwards, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1790 Mulkey Rd Ste 8a, Austell, GA 30106 Phone: 770-944-1830 Fax: 770-739-0260 | |
Patricia Marsh, Family Medicine Medicare: Medicare Enrolled Practice Location: 3999 Austell Rd Ste 901, Austell, GA 30106 Phone: 770-809-3032 Fax: 678-838-6797 | |
Dr. Shin Long Liao, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4010 | |
Bonnie P Ellenoff, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3640 Tramore Pointe Pkwy, Kaiser Permanente West Cobb Medical Center, Austell, GA 30106 Phone: 770-439-4700 Fax: 404-370-0428 | |
Dr. Ramon Antonio Arias, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4320 Flint Hill Rd, Austell, GA 30106 Phone: 770-778-3378 Fax: 770-437-8070 | |
Dr. Thomas Gearhard, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1790 Mulkey Rd Ste 8a, Austell, GA 30106 Phone: 770-944-1830 Fax: 770-739-0260 |