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ROBERT RANDOLPH ADERHOLD M.D.
>> Surgery >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1447377080
Individual Registrant: ROBERT RANDOLPH ADERHOLD M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
605 N WESTOVER BLVD ALBANY, GA 31707-2188 US
Tel: 229-434-4200 Fax: 229-434-1488
Tel: 229-434-4200 Fax: 229-434-1488
Contact information for business:
605 N WESTOVER BLVD ALBANY, GA 31707-2188 US
Tel: 229-434-4200 Fax: 229-434-1488
Tel: 229-434-4200 Fax: 229-434-1488
Registration Information:
NPI: 1447377080
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 208600000X | Allopathic & Osteopathic Physicians Surgery | GA | 058941 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 585829042B | GA | 05 | |
| MEDICAL LICENSE | 058941 | GA | 01 |
| DEA REGISTRATION NUMBER | FAO175251 | 01 |
