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Individual

DR. RANDY DOUGLAS PROFFITT

Active
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Individual

DR. RANDY DOUGLAS PROFFITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
16402
AL
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
16402
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051531824
BLUE CROSS
AL
Enumeration date
07/16/2006
Last updated
03/21/2026
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