Dr. John Randolph, m.d.
Family Medicine in Liberty, SC. Individual provider (NPI-1).
NPI number1689677882
StatusActive
Last updated in NPPESOct 14, 2014
Details
- NPI
- 1689677882
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Randolph
- Credential
- m.d.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 23, 2005
- Last updated
- Oct 14, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 24613 | SC | Yes |
| 207Q00000X | Family Medicine | 35074072 | OH |
Practice location
105 Liberty BlvdLiberty, SC 29657-1641
Phone 864-843-8500 · Fax 864-843-5634
Mailing address
Po Box 919Pickens, SC 29671-0919
Phone 864-897-8277 · Fax 864-878-0035
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Medicine Physician providers in Liberty, SC
- Baptist Easley HospitalNPI 1801028543
- Cannon Memorial HospitalNPI 1750304135
- Lori R Carnsew, MDNPI 1497713143
- Liberty Family CareNPI 1083663892
- Palmetto HealthNPI 1124279872
- Jerome H Waller, M.D.NPI 1043262868
- Mark D Walsh, MDNPI 1265473813
All 8 Family Medicine Physician providers in Liberty · All 64 providers in Liberty
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.