Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GREGORY W RANDOLPH, MD
ActiveMR. GREGORY W RANDOLPH, MD is a General Practice healthcare provider located in PASS CHRISTIAN, Mississippi. NPI 1699760652 is currently active in the NPPES registry. Verify at CMS.
General Practice · PASS CHRISTIAN, MS
Registration Details
- NPI Number
- 1699760652
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2005 (20.88819428953 yrs)
- Last Updated
- Jul 8, 2007
- License
-
13081 (MS)
Practice Information
- Address
-
130 FLEITAS AVEPASS CHRISTIAN, MS, 395714507Browse MS providers · Browse ZIP 39571
- Phone
- 2284524888
- Fax
- 2284525006
- Primary Specialty
-
General Practice
208D00000X
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.