ALTHEAL RANDOLPH PA NPI 1376093864

NPI Information

NPI: 1376093864
Provider Name: ALTHEAL RANDOLPH, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
340 COUNTY ROAD 126
JEMISON, AL
ZIP 35085
Phone: (205) 908-8304
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Altheal Randolph, PA is a medical physician assistant in Jemison, AL. Altheal Randolph, PA NPI is 1376093864. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

340 COUNTY ROAD 126
JEMISON, AL
ZIP 35085-106
Phone: (205) 908-8304
Fax: (205) 688-2545

The enumeration date for this NPI number is 10/7/2016 and was last updated on 10/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA190	ALABAMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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