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NPI Code Detail

MEDICARE: DR. RANDY S KATZ DO

MEDICARE: DR. RANDY S KATZ DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1204D00000XNeuromusculoskeletal Medicine & OMM Physician49181GA
22083X0100XOccupational Medicine Physician49181GA

General Provider Information

NPI Number : 1124120829
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RANDY S KATZ DO
Provider Business Mailing Address
First Line : 21 ORTHO LN
Second Line :
City : ATLANTA
State : GA
Zip : 30329-2315
Country : US
Telephone Number : 404-778-7000
Fax Number : 404-778-7117
Provider Business Practice Location Address
First Line : 21 ORTHO LN
Second Line :
City : ATLANTA
State : GA
Zip : 30329-2315
Country : US
Telephone Number : 404-778-7000
Fax Number : 404-778-7117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2006
Last Update Date : 12/18/2023

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