Randolph, Teigha Jan

Randolph, Teigha Jan is an individual health care provider with primary practice located at 701 Doctors Dr Suite N, Kinston NC 28501-1584. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Randolph, Teigha Jan can be contacted via phone (252) 559-2200.

Contact Information

Primary practice address
701 Doctors Dr Suite N Kinston NC 28501-1584
Phone: (252) 559-2200
Fax: (252) 522-9778
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35186 North Carolina

Profile Details

NPI number 1811972425
LBN Legal business name Randolph, Teigha Jan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Mar 5th, 2024 - about 9 months 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 1811972425 NPPES
Other 110060523 RAILROAD MEDICARE
MEDICAID 8970154 RAILROAD MEDICARE

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