Randall Norman Willard in Wilmington - Emergency Medicine

Randall Norman Willard - NPI 1700880101

Randall Norman Willard is a Emergency Medicine in Wilmington, North Carolina. Randall Norman Willard practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Randall Norman Willard is 1700880101. The last update date is 2009-11-24.

Randall Norman Willard's current location address is 4402 Shipyard Blvd, Wilmington, North Carolina. You can contact this provider via phone number 9104521400 and fax number 9103321072. The mailing address for Randall Norman Willard is 4402 Shipyard Blvd, Wilmington, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Randall Norman Willard
Address 4402 Shipyard Blvd, Wilmington, North Carolina
Phone Number 9104521400
Fax Number 9103321072
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1700880101
Provider Enumeration Date 2005-06-13
Last Updated Date 2009-11-24

Provider Mailing Address Detail

Address 4402 Shipyard Blvd
City Wilmington
State North Carolina (NC)
Post Code 2840361610
Phone Number 9104521400
Fax Number 9103321072

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 200400437
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
891368Y NC --
D7960 NC MEDCOST
P00311531 NC RAILROAD MEDICARE
Q0043G SC --
1368Y NC BCBS

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FAQs about Randall Norman Willard

What is the unique 10-digit identification code issued to Randall Norman Willard by the Centers for Medicare & Medicaid Services?

The Randall Norman Willard has been assigned the NPI (National Provider Identifier) 1700880101 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Randall Norman Willard is physically located?

The Randall Norman Willard is situated at the following address: 4402 Shipyard Blvd, Wilmington, NC 2840361610.

What is Randall Norman Willard's area of expertise and its corresponding taxonomy classification?

The Randall Norman Willard's field of specialization is Emergency Medicine, and it falls under the taxonomy code 207P00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Randall Norman Willard receive the assignment of its 1700880101 from the Centers for Medicare & Medicaid Services?

The Randall Norman Willard was issued its 1700880101 by the Centers for Medicare & Medicaid Services on 2005-06-13.

When was the Randall Norman Willard's information last updated?

The Randall Norman Willard's information was last updated on 2009-11-24.

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