Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDOLPH EUGENE MODLIN, M.D.
Active Sole ProprietorDR. RANDOLPH EUGENE MODLIN, M.D. is a Cardiovascular Disease healthcare provider located in WHITE SULPHUR SPRINGS, West Virginia. NPI 1942259114 is currently active in the NPPES registry. Verify at CMS.
Cardiovascular Disease · WHITE SULPHUR SPRINGS, WV
Registration Details
- NPI Number
- 1942259114
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 8, 2006 (20.086198573772 yrs)
- Last Updated
- Nov 28, 2016
- Licenses
-
30837 (GA)25813 (WV)0101255193 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
320 W MAIN STWHITE SULPHUR SPRINGS, WV, 249862414Browse WV providers · Browse ZIP 24986
- Phone
- 3045364870
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
- Additional Specialty
- Cardiovascular Disease
- Additional Specialty
- Cardiovascular Disease
Other Cardiovascular Disease Providers in WHITE SULPHUR SPRINGS, WV
| Name | Credential | NPI |
|---|---|---|
| THOMAS O DOTSON | MD | 1124069141 |
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.