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Contact Information

RANDALL L PROCTOR, MD
420 SPRING FOREST RD
GREENVILLE, NC27834
 Phone: 252-752-4124
 Fax: 252-752-2044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for RANDALL L PROCTOR · (Male)

NPI Number 1366880304
Status Active
Credentials MD
Entity Individual
Enumeration date 06/12/2013
Last updated 08/01/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2016-02476
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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