Basic Information
| Provider Information | |||||||||
| NPI: | 1730303173 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RAND CONFER, MD, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 28650 | ||||||||
| Address2: | |||||||||
| City: | MACON | ||||||||
| State: | GA | ||||||||
| PostalCode: | 312218650 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4784741769 | ||||||||
| FaxNumber: | 4784749034 | ||||||||
| Practice Location | |||||||||
| Address1: | 120 GORDON ST | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | GA | ||||||||
| PostalCode: | 306731602 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4784741769 | ||||||||
| FaxNumber: | 4784749034 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/13/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | CONFER | ||||||||
| AuthorizedOfficialFirstName: | RAND | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 4784741769 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085D0003X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Neuroimaging |
No ID Information.