Mr Randall Keith Evans, PT | |
821 N Cobb St, Milledgeville, GA 31061-2343 | |
(478) 454-3640 | |
(478) 457-2005 |
Full Name | Mr Randall Keith Evans |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 821 N Cobb St, Milledgeville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881809077 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT008605 (Georgia) | Primary |
Provider Name | Aegis Group Practice Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881142750 PECOS PAC ID: 5193036432 Enrollment ID: O20150916001644 |
Mailing Address | Practice Location Address |
---|---|
Mr Randall Keith Evans, PT 1434 W Hancock St Unit A, Milledgeville, GA 31061-6730 Ph: (478) 696-3990 | Mr Randall Keith Evans, PT 821 N Cobb St, Milledgeville, GA 31061-2343 Ph: (478) 454-3640 |
Mrs. Maria Lana Johnston, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 107 Sportsman Club Rd Ne, Milledgeville, GA 31061 Phone: 478-453-0041 Fax: 478-453-3498 | |
Nathan Andrew Lee, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 641 W Thomas St, Milledgeville, GA 31061 Phone: 478-452-6252 Fax: 478-452-6255 | |
Letisha Tharpe, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Bostick Cir, Milledgeville, GA 31061 Phone: 478-414-9600 | |
Independent Physical Therapy Of Ga Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1958 N Columbia St, Milledgeville, GA 31061 Phone: 478-111-2233 | |
Ashley Janelle Knox, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 821 N Cobb St, Milledgeville, GA 31061 Phone: 478-776-4029 | |
Mrs. Kelly R Grimes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1203 N Columbia Dr, Milledgeville, GA 31061 Phone: 478-452-6200 | |
Dr. Morgan Elizabeth Hawks, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 821 N Cobb St Fl 2, Milledgeville, GA 31061 Phone: 478-776-4000 Fax: 478-776-4001 |