Individual provider · NPI-1

Sharon Randle

Technician, Attendant Care Provider · Albany, GA

NPI number1588355465
StatusActive
Last updated in NPPESMay 19, 2023

Details

NPI
1588355465
Entity type
Individual (NPI-1)
Name
Sharon Randle
Sex
Female
Sole proprietor
Yes
Enumeration date
May 19, 2023
Certification date
May 19, 2023
Last updated
May 19, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider––Yes

Practice location

2502 Toni Lynne Ln
Albany, GA 31705-4347

Phone 229-854-2407

Mailing address

2502 Toni Lynne Ln
Albany, GA 31705-4347

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