Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TICE JAMES RANDOLPH
Active Sole ProprietorTICE JAMES RANDOLPH is a Hospice Care, Community Based healthcare provider located in MARION, North Carolina. NPI 1508194481 is currently active in the NPPES registry. Verify at CMS.
Hospice Care, Community Based · MARION, NC
Registration Details
- NPI Number
- 1508194481
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 3, 2009 (16.723335717011 yrs)
- Last Updated
- Dec 3, 2009
- License
-
HC2338 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
123 S MAIN STMARION, NC, 287524548Browse NC providers · Browse ZIP 28752
- Phone
- 8286598879
- Fax
- 8286596888
- Primary Specialty
-
Hospice Care, Community Based
251J00000X
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.