DR. RANDY DOUGLAS PROFFITT M.D. NPI 1528085347

NPI Information

DR. Randy Douglas Proffitt, M.D. is a plastic and reconstructive surgery surgery in Mobile, AL with 40 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Randy Douglas Proffitt, M.D. NPI is 1528085347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:1984

The provider's business location address is:

740 HILLCREST RD
SUITE C
MOBILE, AL
ZIP 36695-924
Phone: (251) 607-0300
Fax: (251) 607-0377

The NPI 1528085347 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 11/1/2007.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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