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 |
Popular Providers
-
Dreesen, Elizabeth B
101 Manning Dr , Chapel Hill NC 27599-0001 -
Gravely, Trevor Steven
200 Herlong Ave S Ste G , Rock Hill SC 29732-1182 -
Schroeder, Christopher W
1721-07 Ebenezer Road Suite 175, Rock Hill SC 29732 -
Marshall, Harry
4008 Burnett-Womack Building Campus Box 7228, Chapel Hill NC 27599-7228 -
Dhiman, Shamly Venus
1721 Ebenezer Rd Suite 175, Rock Hill SC 29732 -
Guidry, Christopher A
200 Herlong Ave S Ste G , Rock Hill SC 29732-1182 -
Watson, Carrie Dawn
200 Herlong Ave S Ste G , Rock Hill SC 29732-1182 -
Crain, Corey K
1721 Ebenezer Rd Ste 175 , Rock Hill SC 29732-1188