Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK PATRICK RANDOLPH, PA-C
Active Sole ProprietorMARK PATRICK RANDOLPH, PA-C is a Medical Physician Assistant healthcare provider located in WILSON, North Carolina. NPI 1952394629 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WILSON, NC
Registration Details
- NPI Number
- 1952394629
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 26, 2005 (20.781797162251 yrs)
- Last Updated
- Dec 8, 2020
- License
-
103783 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2503 WOOTEN BLVD SWWILSON, NC, 278934426Browse NC providers · Browse ZIP 27893
- Phone
- 2522432268
- Fax
- 2522432917
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in WILSON, NC
| Name | Credential | NPI |
|---|---|---|
| CATHERINE S WARREN | PA-C | 1669433371 |
| MS. TRACY BOWMAN | PA | 1043228729 |
| MR. MARK ELDRIDGE | P.A. | 1578686804 |
| ANDREA HUBBARD BARFIELD | PA-C | 1750539318 |
| DAVID C PROPST | PA-C | 1790923308 |
| CASSIE MCGEE | — | 1992165104 |
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.