Altheal Randolph, PA

NPI #1376093864 in Jemison, Alabama

Provider Information

NPI Number
1376093864
Entity Type
Individual
Name
Altheal Randolph, PA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Oct 7, 2016
Last Updated
Oct 7, 2016

Practice Location

Address
340 COUNTY ROAD 126
State
Alabama
ZIP Code
35085-3106
Phone
(205) 908-8304

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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