| Randy Georgemiller, Ph.d., P.C. | |
|
4115 Columbia Rd Suite 5-305 Martinez GA 30907-0405 | |
| (847) 913-5175 | |
| Not Available |
| Full Name | Randy Georgemiller, Ph.d., P.C. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4115 Columbia Rd, Martinez, Georgia |
| Authorized Official Name and Position | Randy Georgemiller (PRESIDENT) |
| Authorized Official Contact | 8479135175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randy Georgemiller, Ph.d., P.C. 4115 Columbia Rd Suite 5-305 Martinez GA 30907-0405 Ph: (847) 913-5175 | Randy Georgemiller, Ph.d., P.C. 4115 Columbia Rd Suite 5-305 Martinez GA 30907-0405 Ph: (847) 913-5175 |
| NPI Number | 1265667935 |
|---|---|
| Provider Enumeration Date | 05/23/2009 |
| Last Update Date | 09/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265667935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071003110 (Illinois) | Primary |
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