# MR. RANDALL DAVID WILHOIT IV

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1467961029
- **Gender:** Man
- **Credential:** RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WM0705X | Medical-Surgical Registered Nurse | R210020 | MD | — |
| 363L00000X | Nurse Practitioner | 5013068 | NC | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | R210020 | MD | — |

## Other

- **Enumeration date:** 09/27/2017
- **Last updated:** 07/27/2020