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Raul Randolph, LMT

NPI 1528262946 · on the registry since 2007 · sole proprietor

Practice

Address
155 Brighton Ct Sw
Marietta, GA 30064
Phone
(404) 723-7285

Registry record

Primary taxonomy
225700000X
225700000X
Also registered as
173C00000X
175F00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-02-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia