Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALTHEAL RANDOLPH, PA
Active Sole ProprietorALTHEAL RANDOLPH, PA is a Medical Physician Assistant healthcare provider located in JEMISON, Alabama. NPI 1376093864 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · JEMISON, AL
Registration Details
- NPI Number
- 1376093864
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 7, 2016 (9.8484152753666 yrs)
- Last Updated
- Oct 7, 2016
- License
-
PA190 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
340 COUNTY ROAD 126JEMISON, AL, 350853106Browse AL providers · Browse ZIP 35085
- Phone
- 2059088304
- Fax
- 2056882545
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.