Richard C Randolph in Brandon - Family Medicine

Richard C Randolph - NPI 1275632325

Richard C Randolph is a Family Medicine in Brandon, Mississippi. Richard C Randolph practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Richard C Randolph is 1275632325. The last update date is 2023-03-07.

Richard C Randolph's current location address is 348 Crossgates Blvd, Brandon, Mississippi. You can contact this provider via phone number 6018252466 and fax number 6018248137. The mailing address for Richard C Randolph is 348 Crossgates Blvd, Brandon, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard C Randolph
Address 348 Crossgates Blvd, Brandon, Mississippi
Phone Number 6018252466
Fax Number 6018248137
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1275632325
Provider Enumeration Date 2006-09-22
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 348 Crossgates Blvd
City Brandon
State Mississippi (MS)
Post Code 390422616
Phone Number 6018252466
Fax Number 6018248137

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 10006
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
116695 MS --
80190935 MS PALMETTO GBA RAILROAD MEDICARE

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FAQs about Richard C Randolph

What is the unique provider identifier assigned to Richard C Randolph?

The Richard C Randolph has been issued the NPI (National Provider Identifier) 1275632325 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Richard C Randolph?

The Richard C Randolph is situated at 348 Crossgates Blvd, in the city of Brandon, state of MS, with the zip code 390422616.

What is the Richard C Randolph's area of specialization and corresponding taxonomy classification?

The Richard C Randolph's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

On what date did the Richard C Randolph receive the assignment of its 1275632325 from the Centers for Medicare & Medicaid Services?

The Richard C Randolph was issued its 1275632325 by the Centers for Medicare & Medicaid Services on 2006-09-22.

When was the information regarding Richard C Randolph, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Richard C Randolph, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-03-07.

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