Randell Leon Elkins JR. PHD

NPI 1194885475 - Psychologist - 103TC0700X

NPI Details
NPI 1194885475
Gender Male
Enumeration Date 12/09/2006
Last Updated 11/05/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
701 BROAD ST STE 350
ROME GA, 30161-3092, US
Phone (706) 295-2028
Fax (706) 295-2062
Business Location
ROME GA, 30165-1625, US
Phone (706) 295-5331
Taxonomy Code 103TC0700X
License State Georgia
License Number PSY000948
Remove 1194885475 NPI Number

According to our database, Randell Leon Elkins JR. PHD NPI is 1194885475, taxonomy code is 103TC0700X and license number is PSY000948, license state is located at Georgia. Randell Leon Elkins JR. PHD physically located at 701 Broad St Ste 350, Rome GA, 30161-3092. NPI Number Randell Leon Elkins JR. PHD has the Individual type.

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1194885475 NPI number is provided on an as is basis without warranty of any kind. 1194885475 is maintained by the National Plan & Provider Enumeration System. The contents of Randell Leon Elkins JR. PHD are for informational purposes only.