Perryman, Randolph Gray

Perryman, Randolph Gray is an individual health care provider with primary practice located at 301 South Elm St. , Greensboro NC 27401-2696. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Perryman, Randolph Gray can be contacted via phone (336) 883-7480.

Contact Information

Primary practice address
301 South Elm St. Greensboro NC 27401-2696
Phone: (336) 883-7480
Fax: (336) 883-4015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 4208 North Carolina

Profile Details

NPI number 1568526085
LBN Legal business name Perryman, Randolph Gray
Credentials M.ED.,LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Sep 4th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568526085 NPPES
North Carolina MEDICAID 6102801

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