Randi Katherine Popp

NPI #1407114887 in Charleston, South Carolina

Provider Information

NPI Number
1407114887
Entity Type
Organization
Organization Name
Randi Katherine Popp
Subpart
Yes (part of a larger organization)
Parent Organization
RANDI KATHERINE POPP
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Apr 24, 2012
Last Updated
May 16, 2012

Practice Location

Address
1483 TOBIAS GADSON BLVD
Address 2
SUITE 102
ZIP Code
29407-8702
Phone
(843) 766-6229

Authorized Official

Name
DR. RANDI K. POPP, MD
Title
OWNER
Phone
(843) 766-6229

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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