Mark Patrick Randolph, PA-C
NPI #1952394629 in Wilson, North Carolina
Provider Information
- NPI Number
- 1952394629
- Entity Type
- Individual
- Name
- Mark Patrick Randolph, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Aug 26, 2005
- Last Updated
- Dec 8, 2020
Practice Location
- Address
- 2503 WOOTEN BLVD SW
- City
- Wilson
- State
- North Carolina
- ZIP Code
- 27893-4426
- Phone
- (252) 243-2268
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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