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Individual

DR. MARCUS EDDIE RANDALL

Active
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Individual

DR. MARCUS EDDIE RANDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
01042349A
NC
2085R0001X
Radiation Oncology Physician
Primary
40518
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70124
BCBS NC
NC
05
—
8970124
—
NC
Enumeration date
10/03/2005
Last updated
12/12/2022
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