Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DERRICK WADE RANDALL, MD
ActiveDR. 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 220CHARLESTON, SC, 294145894Browse SC providers · Browse ZIP 29414
- Phone
- 8437238823
- Fax
- 8436068059
- Primary Specialty
-
Vascular Surgery
208VP0000X
- Additional Specialty
- Anesthesiology
- Additional Specialty
- Pain Medicine (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.