Randolph Specialty Group Practice
NPI #1114195468 in Seagrove, North Carolina
Provider Information
- NPI Number
- 1114195468
- Entity Type
- Organization
- Organization Name
- Randolph Specialty Group Practice
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 20, 2008
- Last Updated
- Feb 21, 2020
Practice Location
- Address
- 514 N BROAD ST
- City
- Seagrove
- State
- North Carolina
- ZIP Code
- 27341-8583
- Phone
- (336) 873-8045
Authorized Official
- Name
- ROBERT SCOTT CLAUSER
- Title
- EXECUTIVE DIRECTOR
- Phone
- (336) 625-2333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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