Williams, Randall P
Williams, Randall P is an individual health care provider with primary practice located at 146 Medical Park Rd Ste 108 , Mooresville NC 28117-8529. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Williams, Randall P can be contacted via phone (704) 662-0877.Contact Information
Primary practice address
146 Medical Park Rd Ste 108
Mooresville NC 28117-8529
Phone: (704) 662-0877
Fax: (704) 662-0875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 36454 | North Carolina |
| Other Service Providers / Specialist | 174400000X | 36454 | North Carolina |
Profile Details
| NPI number | 1518076660 |
|---|---|
| LBN Legal business name | Williams, Randall P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1518076660 | NPPES |
| North Carolina | Other | 87895 | BCBS |
| North Carolina | MEDICAID | 8987895 | BCBS |
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