Randolph, Carla R

Randolph, Carla R is an individual health care provider with primary practice located at 305 Paul Bryant Dr E , Tuscaloosa AL 35401-2094. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Randolph, Carla R can be contacted via phone (205) 345-0192.

Contact Information

Primary practice address
305 Paul Bryant Dr E Tuscaloosa AL 35401-2094
Phone: (205) 345-0192
Fax: (205) 247-2194
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-267 Alabama

Profile Details

NPI number 1629018411
LBN Legal business name Randolph, Carla R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 8th, 2007 - about 18 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 1629018411 NPPES
Alabama Other 51507969 BLUE CROSS BLUE SHIELD

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