Randall, M. Barry

Randall, M. Barry is an individual health care provider with primary practice located at 930 Madison Ave Suite 890, Memphis TN 38103-3410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Randall, M. Barry can be contacted via phone (901) 866-8834.

Contact Information

Primary practice address
930 Madison Ave Suite 890 Memphis TN 38103-3410
Phone: (901) 866-8834
Fax: (901) 302-2834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 029321 Tennessee

Profile Details

NPI number 1124002175
LBN Legal business name Randall, M. Barry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Oct 18th, 2018 - about 8 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 1124002175 NPPES
Mississippi MEDICAID 0121423
Mississippi MEDICAID 133395001
Mississippi MEDICAID 1532078

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