Mcduffy, Randy L

Mcduffy, Randy L is an individual health care provider with primary practice located at 1507 W Quitman St , Iuka MS 38852-1132. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Mcduffy, Randy L can be contacted via phone (662) 423-1000.

Contact Information

Primary practice address
1507 W Quitman St Iuka MS 38852-1132
Fax: (662) 423-1316
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R803373 Mississippi

Profile Details

NPI number 1437155918
LBN Legal business name Mcduffy, Randy L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jul 8th, 2007 - about 19 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 1437155918 NPPES
Mississippi MEDICAID 02353870

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