Randy Lee Province

NPI #1033616719 in Floyd, Virginia

Provider Information

NPI Number
1033616719
Entity Type
Individual
Name
Randy Lee Province
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Enumeration Date
Apr 10, 2018
Last Updated
Apr 15, 2022

Practice Location

Address
911 E MAIN ST
City
Floyd
ZIP Code
24091-4183
Phone
(540) 745-0231

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Family Medicine

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