DR. Michael Shane Randolph, MD

NPI #1023111010 in Somerset, Kentucky

Provider Information

NPI Number
1023111010
Entity Type
Individual
Name
DR. Michael Shane Randolph, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
Sep 6, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
104 HARDIN LN
ZIP Code
42503-3800
Phone
(606) 676-0786

Specialties & Taxonomy Codes

Specialty
Family Medicine

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