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

DR. DERRICK WADE RANDALL, MD

Active

DR. DERRICK WADE RANDALL, MD is a Vascular Surgery healthcare provider located in CHARLESTON, South Carolina. NPI 1699766758 is currently active in the NPPES registry. Verify at CMS.

Vascular Surgery · CHARLESTON, SC

Registration Details

NPI Number
1699766758
Provider Type
Individual
Gender
Male
NPI Issued
Oct 28, 2005 (20.788328555515 yrs)
Last Updated
Jan 15, 2025
Licenses
19659 (SC)
050251 (GA)
19659 (SC)
19659 (SC)

Practice Information

Address
2145 HENRY TECKLENBURG DR STE 220
CHARLESTON, SC, 294145894
Browse SC providers · Browse ZIP 29414
Phone
8437238823
Fax
8436068059
Primary Specialty
Vascular Surgery
208VP0000X
Additional Specialty
Anesthesiology
Additional Specialty
Vascular Surgery

Other Vascular Surgery Providers in CHARLESTON, SC

Name Credential NPI
DR. EDWARD M. TAVEL JR. M.D. 1508833468
DR. ALISHER DADABAYEV 1194976357
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.