Scot Randall in Charlotte - Family Medicine

Scot Randall - NPI 1881611465

Scot Randall is a Family Medicine in Charlotte, Michigan. Scot Randall practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Scot Randall is 1881611465. The last update date is 2012-06-11.

Scot Randall's current location address is 321 E Harris St, Charlotte, Michigan. You can contact this provider via phone number 5175431050 and fax number 5175415870. The mailing address for Scot Randall is 321 E Harris St, Charlotte, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Scot Randall
Address 321 E Harris St, Charlotte, Michigan
Phone Number 5175431050
Fax Number 5175415870
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1881611465
Provider Enumeration Date 2006-07-17
Last Updated Date 2012-06-11

Provider Mailing Address Detail

Address 321 E Harris St
City Charlotte
State Michigan (MI)
Post Code 488131629
Phone Number 5175431050
Fax Number 5175415870

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No SR011391
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4574654 MI --
200000002577 MI PHP

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FAQs about Scot Randall

What is the unique identification code assigned to Scot Randall by the Centers for Medicare & Medicaid Services?

The Scot Randall has been issued the NPI (National Provider Identifier) 1881611465. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Scot Randall?

The Scot Randall is physically situated at 321 E Harris St, in the city of Charlotte, state of MI, with the postal code 488131629.

What is Scot Randall's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Scot Randall is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1881611465 to Scot Randall?

The Centers for Medicare & Medicaid Services originally issued the 1881611465 to Scot Randall on 2006-07-17.

As of what date was the information regarding Scot Randall, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Scot Randall, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-06-11.

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