Randy D. Proffitt, M.D., Llc

LBN: Randy D. Proffitt, M.D., Llc
Randy D. Proffitt, M.D., Llc is an health care organization with primary practice located at 6317 Piccadilly Square Dr , Mobile AL 36609-5103. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty. Randy D. Proffitt, M.D., Llc can be contacted via phone (251) 344-0322, or through Proffitt, Randy D via phone (251) 607-0300.

Contact Information

Primary practice address
6317 Piccadilly Square Dr Mobile AL 36609-5103
Phone: (251) 344-0322
Fax: (251) 344-0395
Website:
Map and Directions
Authorized official contact:
Name: Proffitt, Randy D Doctor of Medicine (MD)
Phone: (251) 607-0300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X

Profile Details

NPI number 1326066010
LBN Legal business name Randy D. Proffitt, M.D., Llc
DBA Doing business as
Authorized official Proffitt, Randy D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2006
Last updated Jan 27th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326066010 NPPES
Alabama Other 51531824 BLUE CROSS
Alabama MEDICAID 051531824 BLUE CROSS

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