Randolph, Mark Patrick
Randolph, Mark Patrick is an sole proprietor health care provider with primary practice located at 2503 Wooten Blvd Sw , Wilson NC 27893-4426. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Randolph, Mark Patrick can be contacted via phone (252) 243-2268.Contact Information
Primary practice address
2503 Wooten Blvd Sw
Wilson NC 27893-4426
Phone: (252) 243-2268
Fax: (252) 243-2917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 103783 | North Carolina |
Profile Details
| NPI number | 1952394629 |
|---|---|
| LBN Legal business name | Randolph, Mark Patrick |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Dec 8th, 2020 - about 4 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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