Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDY WAIN CONNOLLY, DO, MPH
Active Sole ProprietorDR. RANDY WAIN CONNOLLY, DO, MPH is a 2083A0100X healthcare provider located in PORTSMOUTH, Virginia. NPI 1164594628 is currently active in the NPPES registry. Verify at CMS.
2083A0100X · PORTSMOUTH, VA
Registration Details
- NPI Number
- 1164594628
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 13, 2006 (19.708429507716 yrs)
- Last Updated
- May 31, 2023
- Licenses
-
0102201963 (VA)0102201963 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
620 JOHN PAUL JONES CIR STE 1100PORTSMOUTH, VA, 237082111Browse VA providers · Browse ZIP 23708
- Phone
- 7579530765
- Primary Specialty
-
2083A0100X
2083A0100X
- Additional Specialty
- 2083A0100X
Other 2083A0100X Providers in PORTSMOUTH, VA
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID ALLEN HILAND | D.O. | 1114953171 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.