Karon Eagan Randolph in Atlanta - Clinical
Karon Eagan Randolph - NPI 1245371673
Karon Eagan Randolph is a Clinical in Atlanta, Georgia. Karon Eagan Randolph practices all healthcare services and medical treatments related to Clinical. The NPI Number for Karon Eagan Randolph is 1245371673. The last update date is 2007-07-08.
Karon Eagan Randolph's current location address is 1739 Johnson Rd Ne, Atlanta, Georgia. You can contact this provider via phone number 4048765042 and fax number 6786810585. The mailing address for Karon Eagan Randolph is 1739 Johnson Rd Ne, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Karon Eagan Randolph |
|---|---|
| Address | 1739 Johnson Rd Ne, Atlanta, Georgia |
| Phone Number | 4048765042 |
| Fax Number | 6786810585 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1245371673 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1739 Johnson Rd Ne |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303063107 |
| Phone Number | 4048765042 |
| Fax Number | 6786810585 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 537 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Karon Eagan Randolph?
The Karon Eagan Randolph has been issued the NPI (National Provider Identifier) 1245371673 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Karon Eagan Randolph?
The Karon Eagan Randolph is situated at 1739 Johnson Rd Ne, in the city of Atlanta, state of GA, with the zip code 303063107.
What is Karon Eagan Randolph's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Karon Eagan Randolph is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Karon Eagan Randolph receive the assignment of its 1245371673 from the Centers for Medicare & Medicaid Services?
The Karon Eagan Randolph was issued its 1245371673 by the Centers for Medicare & Medicaid Services on 2007-02-09.
As of what date was the information regarding Karon Eagan Randolph, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Karon Eagan Randolph, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.