Sloan, Randy M

Sloan, Randy M is an individual health care provider with primary practice located at 1899 N Marine Blvd , Jacksonville NC 28546-6555. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sloan, Randy M can be contacted via phone (910) 341-3300.

Contact Information

Primary practice address
1899 N Marine Blvd Jacksonville NC 28546-6555
Fax: (910) 251-8824
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9501103 North Carolina

Profile Details

NPI number 1073602900
LBN Legal business name Sloan, Randy M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Mar 13th, 2012 - about 14 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 1073602900 NPPES
North Carolina MEDICAID 2332257

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