RANDOLPH SPECIALTY GROUP PRACTICE; NPI #1619022779

Contact Information

RANDOLPH SPECIALTY GROUP PRACTICE

700 SUNSET AVE
ASHEBORO, NC 27203-5304

Phone: 336-626-4328
Fax: 336-625-9941
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Endoscopy	261QE0800X
Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for RANDOLPH SPECIALTY GROUP PRACTICE

NPI Number 1619022779

LBN Legal business name RANDOLPH SPECIALTY GROUP PRACTICE

Authorized official ROBERT CLAUSER - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/25/2007

Last updated 02/21/2020 - About 6 years ago

Identifiers

License #

AS0054

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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RANDOLPH SPECIALTY GROUP PRACTICE

Contact Information

Specialty

Endoscopy

Ambulatory Surgical

NPI Profile & details for RANDOLPH SPECIALTY GROUP PRACTICE

Reviews for RANDOLPH SPECIALTY GROUP PRACTICE