Randy J Georgemiller, PHD in Fort Gordon, GA - Clinical Neuropsychologist

Randy J Georgemiller, PHD is a Clinical Neuropsychologist based in Fort Gordon, Georgia. Randy J Georgemiller is licensed to practice in Georgia (license number PSY003859) and his current practice location is 300 E Hospital Rd, Room 13a-10, Fort Gordon, Georgia. He can be reached at his office (for appointments etc.) via phone at (706) 787-3143.

NPI number for Randy J Georgemiller is 1205904950 and his current mailing address is 300 E Hospital Rd, Room 13a-10, Ft Gordon, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205904950.

Contact Information

	Randy J Georgemiller, PHD
	300 E Hospital Rd, Room 13a-10, Fort Gordon, GA 30905-5650
	(706) 787-3143
	Not Available

Healthcare Provider's Profile

Full Name	Randy J Georgemiller
Gender	Male
Speciality	Clinical Neuropsychologist
Location	300 E Hospital Rd, Fort Gordon, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1205904950
Provider Enumeration Date: 12/01/2006
Last Update Date: 07/20/2016

Medical Identifiers

Medical identifiers for Randy J Georgemiller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205904950	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071-003110 (Illinois)	Secondary
103G00000X	Clinical Neuropsychologist	PSY003859 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Randy J Georgemiller is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Randy J Georgemiller, PHD 300 E Hospital Rd, Room 13a-10, Ft Gordon, GA 30905-5650 Ph: (706) 787-3143	Randy J Georgemiller, PHD 300 E Hospital Rd, Room 13a-10, Fort Gordon, GA 30905-5650 Ph: (706) 787-3143

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Randy J Georgemiller, PHD - in Fort Gordon, GA