Randol, Tabitha Martinez

Randol, Tabitha Martinez is an individual health care provider with primary practice located at 4501 Old Spartanburg Rd Suite 9, Taylors SC 29687-4105. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Randol, Tabitha Martinez can be contacted via phone (864) 292-8868.

Contact Information

Primary practice address
4501 Old Spartanburg Rd Suite 9 Taylors SC 29687-4105
Phone: (864) 292-8868
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27090 South Carolina

Profile Details

NPI number 1073548913
LBN Legal business name Randol, Tabitha Martinez
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Sep 26th, 2022 - about 3 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 1073548913 NPPES
South Carolina MEDICAID 270904

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