Healthcare Provider Details
I. General information
NPI: 1730303173
Provider Name (Legal Business Name): RAND CONFER, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
120 GORDON ST
WASHINGTON GA
30673-1602
US
IV. Provider business mailing address
PO BOX 28650
MACON GA
31221-8650
US
V. Phone/Fax
- Phone: 478-474-1769
- Fax: 478-474-9034
- Phone: 478-474-1769
- Fax: 478-474-9034
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085D0003X |
| Taxonomy | Diagnostic Neuroimaging (Radiology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RAND
CONFER
Title or Position: OWNER
Credential: M.D.
Phone: 478-474-1769