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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAE RANDOLPH

Active Sole Proprietor

MAE RANDOLPH is a Podiatric Surgery healthcare provider located in HOLLY HILL, South Carolina. NPI 1184279903 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · HOLLY HILL, SC

Registration Details

NPI Number
1184279903
Provider Type
Individual
Gender
Female
NPI Issued
Aug 8, 2019 (6.9954580651935 yrs)
Last Updated
Aug 8, 2019
Sole Proprietor
Yes

Practice Information

Address
200 DECENDANT DR
HOLLY HILL, SC, 290599019
Browse SC providers · Browse ZIP 29059
Phone
8034960332
Primary Specialty
Podiatric Surgery
3747A0650X

Other Podiatric Surgery Providers in HOLLY HILL, SC

Name Credential NPI
JEFFERY JONES 1548932452
YOVONDA DAVIS 1821964099
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.