Richard C Randolph MD PA

NPI #1679672745 in Brandon, Mississippi

Provider Information

NPI Number: 1679672745
Entity Type: Organization
Organization Name: Richard C Randolph MD PA
Primary Specialty: Family Medicine
Enumeration Date: Sep 22, 2006
Last Updated: Aug 15, 2011

Practice Location

Address: 348 CROSSGATES BLVD
Address 2: SUITE 2200
City: Brandon
State: Mississippi
ZIP Code: 39042-2616
Phone: (601) 825-2466

Authorized Official

Name: DR. RICHARD C RANDOLPH, M.D.
Title: PRESIDENT
Phone: (601) 825-2466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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