Richard C Randolph Md Pa

LBN: Richard C Randolph Md Pa
Richard C Randolph Md Pa is an health care organization with primary practice located at 348 Crossgates Blvd Suite 2200, Brandon MS 39042-2616. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Richard C Randolph Md Pa can be contacted via phone (601) 825-2466, or through Randolph, Richard C via phone (601) 825-2466.

Contact Information

Primary practice address
348 Crossgates Blvd Suite 2200 Brandon MS 39042-2616
Phone: (601) 825-2466
Fax: (601) 824-8137
Website:
Map and Directions
Authorized official contact:
Name: Randolph, Richard C Doctor of Medicine (MD)
Phone: (601) 825-2466

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10006 Mississippi

Profile Details

NPI number 1679672745
LBN Legal business name Richard C Randolph Md Pa
DBA Doing business as
Authorized official Randolph, Richard C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Aug 15th, 2011 - about 15 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 1679672745 NPPES
Mississippi MEDICAID 03920519
Mississippi Other DG3008

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