| Doctor Name: | RANDALL DEAN ALDRICH |
| NPI Number: | 1023295417 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW, LCAS |
| License Number: | C005939 |
| Business Practice Address: | 300 W Hospital Rd Family Medicine Clinic Fort Gordon, GA - 309055741 |
| Business Phone Number: | 7067879313 |
| Business Fax Number: | 7067879356 |
| Mailing Address: | 300 Hospital Rd, Suite 508 FORT GORDON |
| State: | GA |
| Postal Code: | 309055650 |
| Phone Number: | 7067879313 |
| Fax Number: | 7067879356 |
| NPI Enumeration Date: | 01/28/2008 |
| NPI Last Update Date: | 10/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | C005939 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |