Randolph, Richard

Randolph, Richard is an sole proprietor health care provider with primary practice located at 1094 River Isle Dr , Memphis TN 38103-8870. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Randolph, Richard can be contacted via phone (912) 667-0714.

Contact Information

Primary practice address
1094 River Isle Dr Memphis TN 38103-8870
Phone: (912) 667-0714
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2834 Tennessee

Profile Details

NPI number 1982076246
LBN Legal business name Randolph, Richard
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2015
Last updated Oct 27th, 2015 - about 11 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.

Request for update

Popular Providers