DR. Derrick Wade Randall, MD

NPI #1699766758 in Charleston, South Carolina

Provider Information

NPI Number: 1699766758
Entity Type: Individual
Name: DR. Derrick Wade Randall, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pain Medicine - Pain Medicine
Credential: MD
Enumeration Date: Oct 28, 2005
Last Updated: Jan 15, 2025

Practice Location

Address: 2145 HENRY TECKLENBURG DR STE 220
City: Charleston
State: South Carolina
ZIP Code: 29414-5894
Phone: (843) 723-8823

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X	Primary

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