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SHELBY JOYCE RANDALL DO

Individual Provider (NPI-1) Active

Emergency Medicine

Provider Information

NPI Number
1851954424
Provider Type
Individual Provider (NPI-1)
Credentials
DO
Status
Active

Contact & Location

Address
1459 LANEY WALKER BLVD, AUGUSTA, GA, 309120002
Phone
(916) 626-2206

Specialties & Taxonomies

Emergency Medicine Primary License: CA #20A20015
Emergency Medicine, Medical Toxicology License: CA #20A20015
Internal Medicine, Addiction Medicine License: CA #20A20015
Emergency Medicine License: GA #10796

All Addresses

LOCATION

1459 LANEY WALKER BLVD

AUGUSTA, GA, 309120002

(916) 626-2206

MAILING

2178 AMHERST WAY

EL DORADO HILLS, CA, 957625943

(916) 626-2206