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Organization
RANDOLPH SPECIALTY GROUP PRACTICE
Active
Organization
RANDOLPH SPECIALTY GROUP PRACTICE
Active
Other names
Randolph Health Deep River Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT SCOTT CLAUSER (EXECUTIVE DIRECTOR)
(336) 625-2333
Entity
Organization
Contact information
Practice address
600 W SALISBURY ST, SUITE A, ASHEBORO, NC 27203-5591
(336) 629-6397
(336) 629-6939
Mailing address
PO BOX 5418, ASHEBORO, NC 27204-5418
(336) 625-2333
(336) 625-5511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015V6
BCBS
NC
05
—
7211549
—
NC
Enumeration date
12/26/2006
Last updated
02/21/2020
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