Rozalynde Anne Randolph in Cut Off - Adolescent Medicine
Rozalynde Anne Randolph - NPI 1497715817
Rozalynde Anne Randolph is a Adolescent Medicine in Cut Off, Louisiana. Rozalynde Anne Randolph practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Rozalynde Anne Randolph is 1497715817. The last update date is 2007-07-08.
Rozalynde Anne Randolph's current location address is 14064 W Main St, Cut Off, Louisiana. You can contact this provider via phone number 9856931500 and fax number 9856938880. The mailing address for Rozalynde Anne Randolph is 14064 W Main St, Cut Off, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rozalynde Anne Randolph |
|---|---|
| Address | 14064 W Main St, Cut Off, Louisiana |
| Phone Number | 9856931500 |
| Fax Number | 9856938880 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1497715817 |
|---|---|
| Provider Enumeration Date | 2006-03-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 14064 W Main St |
|---|---|
| City | Cut Off |
| State | Louisiana (LA) |
| Post Code | 703453060 |
| Phone Number | 9856931500 |
| Fax Number | 9856938880 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 19946 |
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Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1681601 | LA | -- |
Post Comment/ Review Below
What is the Rozalynde Anne Randolph's unique identification number?
The Rozalynde Anne Randolph has been assigned the NPI (National Provider Identifier) Number 1497715817 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Rozalynde Anne Randolph is physically located?
The Rozalynde Anne Randolph is situated at the following address: 14064 W Main St, Cut Off, LA 703453060.
What is Rozalynde Anne Randolph's specialized field of practice, and what is the corresponding taxonomy classification code?
The Rozalynde Anne Randolph's area of specialization is Adolescent Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080A0000X.
When did the Rozalynde Anne Randolph receive its 1497715817?
The Rozalynde Anne Randolph was issued its 1497715817 on 2006-03-28, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Rozalynde Anne Randolph most recently updated or revised?
The information pertaining to Rozalynde Anne Randolph, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.