Provost, Randall
Provost, Randall is an individual health care provider with primary practice located at 98 Doctors Dr Suite 200, Sylva NC 28779-4501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Provost, Randall can be contacted via phone (828) 586-8971.Contact Information
Primary practice address
98 Doctors Dr Suite 200
Sylva NC 28779-4501
Phone: (828) 586-8971
Fax: (828) 586-4083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 32835 | North Carolina |
Profile Details
| NPI number | 1003873456 |
|---|---|
| LBN Legal business name | Provost, Randall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Sep 4th, 2012 - about 12 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 | 1003873456 | NPPES |
| North Carolina | MEDICAID | 7969355 |
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