Randolph, Teigha Jan
Randolph, Teigha Jan is an individual health care provider with primary practice located at 701 Doctors Dr Suite N, Kinston NC 28501-1584. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Randolph, Teigha Jan can be contacted via phone (252) 559-2200.Contact Information
Primary practice address
701 Doctors Dr Suite N
Kinston NC 28501-1584
Phone: (252) 559-2200
Fax: (252) 522-9778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35186 | North Carolina |
Profile Details
| NPI number | 1811972425 |
|---|---|
| LBN Legal business name | Randolph, Teigha Jan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Mar 5th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811972425 | NPPES |
| Other | 110060523 | RAILROAD MEDICARE | |
| MEDICAID | 8970154 | RAILROAD MEDICARE |
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