Holcomb, Randall L

Holcomb, Randall L is an individual health care provider with primary practice located at 6286 Briarcrest Ave Suite 200, Memphis TN 38120-4023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Holcomb, Randall L can be contacted via phone (901) 259-1600.

Contact Information

Primary practice address
6286 Briarcrest Ave Suite 200 Memphis TN 38120-4023
Fax: (901) 259-2785
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 12265 Tennessee

Profile Details

NPI number 1346243482
LBN Legal business name Holcomb, Randall L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Oct 2nd, 2012 - about 13 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 1346243482 NPPES
Mississippi Other 620819926 BCBS
Mississippi MEDICAID 3371161 BCBS
Mississippi Other 620819926 BCBS
Mississippi Other 72209 BCBS
Mississippi MEDICAID 14670 BCBS
Mississippi Other 200022154 BCBS
Mississippi Other 2614528 BCBS
Mississippi Other 620819926 BCBS
Mississippi MEDICAID 3004063 BCBS
Mississippi MEDICAID 7187860 BCBS
Mississippi MEDICAID 107443001 BCBS
Mississippi MEDICAID 110318002 BCBS
Mississippi Other 4025293 BCBS
Mississippi Other 620819926 BCBS

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