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Organization
RANDI KATHERINE POPP
Active
Organization
RANDI KATHERINE POPP
Active
Parent organization
RANDI KATHERINE POPP
Other names
Well Family Medicine, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RANDI KATHERINE POPP
Authorized official
DR. RANDI K. POPP MD (OWNER)
(843) 766-6229
Entity
Organization
Contact information
Practice address
1483 TOBIAS GADSON BLVD, SUITE 102, CHARLESTON, SC 29407-8702
(843) 766-6229
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
Other
Enumeration date
04/24/2012
Last updated
05/16/2012
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