Malone, Randolph Augustus
Malone, Randolph Augustus is an sole proprietor health care provider with primary practice located at 2804 Remington Green Circle Ste1 , Tallahassee FL 32308. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Allergy. Allopathic & Osteopathic Physicians / Allergy is his primary health care specialty. Malone, Randolph Augustus can be contacted via phone (850) 656-6269.Contact Information
Primary practice address
2804 Remington Green Circle Ste1
Tallahassee FL 32308
Phone: (850) 656-6269
Fax: (850) 877-5270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Other Service Providers / Specialist | 174400000X | 060041 | |
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 034412 | Georgia |
Profile Details
| NPI number | 1497726814 |
|---|---|
| LBN Legal business name | Malone, Randolph Augustus |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Mar 17th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497726814 | NPPES |
| Georgia | MEDICAID | 000465671A |
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