Provider Demographics
NPI:1730303173
Name:RAND CONFER, MD, PC
Entity Type:Organization
Organization Name:RAND CONFER, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAND
Authorized Official - Middle Name:
Authorized Official - Last Name:CONFER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:478-474-1769
Mailing Address - Street 1:PO BOX 28650
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31221-8650
Mailing Address - Country:US
Mailing Address - Phone:478-474-1769
Mailing Address - Fax:478-474-9034
Practice Address - Street 1:120 GORDON ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:GA
Practice Address - Zip Code:30673-1602
Practice Address - Country:US
Practice Address - Phone:478-474-1769
Practice Address - Fax:478-474-9034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085D0003XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic NeuroimagingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G26913Medicare UPIN