Taveyus Shudon Randolph

Social Worker · Dublin, GA

Individual Active NPI

NPI number 1356070643

Practice location

1826 Veterans Blvd
Dublin, GA 31021-3620
Phone
(800) 595-5229

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NPI record

NPI
1356070643
Entity type
Individual (Type 1)
Enumeration date
June 10, 2022
Last updated
June 10, 2022
Certified
June 9, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Social Worker Primary 104100000X — —

Mailing address

325 Ralph Wood Rd Apt 2
Dublin, GA 31021-1197
Phone
(229) 255-0686

About Taveyus Randolph

Taveyus Shudon Randolph is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 1826 Veterans Blvd, Dublin, GA 31021-3620. The NPI number 1356070643 was assigned on June 10, 2022 and the record was last updated on June 10, 2022.

Frequently asked questions

What is the NPI number of Taveyus Shudon Randolph?

The NPI number is 1356070643.

What is the phone number of Taveyus Randolph?

The phone number listed for the practice location is (800) 595-5229.

Where is Taveyus Randolph located?

1826 Veterans Blvd, Dublin, GA 31021-3620.

What is the taxonomy code for Taveyus Randolph?

The primary taxonomy code is 104100000X – Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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