Randall, Robert D
Randall, Robert D is an sole proprietor health care provider with primary practice located at 1665 Herlong Ct Suite A, Rock Hill SC 29732-1193. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Randall, Robert D can be contacted via phone (803) 329-8500.Contact Information
Primary practice address
1665 Herlong Ct Suite A
Rock Hill SC 29732-1193
Phone: (803) 329-8500
Fax: (803) 329-8511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 10864 | South Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 20949 | North Carolina |
Profile Details
| NPI number | 1467457424 |
|---|---|
| LBN Legal business name | Randall, Robert D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Oct 29th, 2009 - about 15 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 | 1467457424 | NPPES |
| South Carolina | MEDICAID | 108644 | |
| South Carolina | Other | 297388 | |
| South Carolina | Other | 2073882 |
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