Lookup NPI Numbers from the NPI Registry
NPI Profile for DERRICK A RANDOLPH in DECATUR, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X | |||
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1760882690 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 08/28/2014 | |
| Last updated | 01/27/2015 - About 11 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DERRICK A RANDOLPH
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DERRICK A RANDOLPH, RN