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Contact Information

KATHERINE C RANDOLPH, OD
130 W VAN DORN AVE
HOLLY SPRINGS, MS38635
 Phone: 662-252-3323
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for KATHERINE C RANDOLPH · (Female)

NPI Number 1336557222
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/24/2014
Last updated 08/27/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 957
  • MS Medicaid 05500018
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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