Royal, Randall Mac

Royal, Randall Mac is an individual health care provider with primary practice located at 103 Carter Park Dr Suite A, Seneca SC 29678-1152. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Royal, Randall Mac can be contacted via phone (864) 482-2360.

Contact Information

Primary practice address
103 Carter Park Dr Suite A Seneca SC 29678-1152
Phone: (864) 482-2360
Fax: (864) 482-2635
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 28697 South Carolina

Profile Details

NPI number 1053515791
LBN Legal business name Royal, Randall Mac
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Jan 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053515791 NPPES
South Carolina MEDICAID 286979

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