Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN RANDOLPH, M.D.
ActiveDR. JOHN RANDOLPH, M.D. is a Family Medicine healthcare provider located in LIBERTY, South Carolina. NPI 1689677882 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LIBERTY, SC
Registration Details
- NPI Number
- 1689677882
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2005 (21.081617342375 yrs)
- Last Updated
- Oct 14, 2014
- Licenses
-
35074072 (OH)24613 (SC)
Practice Information
- Address
-
105 LIBERTY BLVDLIBERTY, SC, 296571641Browse SC providers · Browse ZIP 29657
- Phone
- 8648438500
- Fax
- 8648435634
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LIBERTY, SC
| Name | Credential | NPI |
|---|---|---|
| LORI R CARNSEW | MD | 1497713143 |
| JEROME H WALLER JR. | M.D. | 1043262868 |
| MARK D WALSH | MD | 1265473813 |
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.