# SHIRLEY M. RANDALL INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659440006
- **Authorized official:** MRS. ANNETTE JOHN (OFFICE MANAGER)
- **Authorized official phone:** (757) 483-7706

## Contact information

- **Practice address:** 9507 HOSPITAL AVE, NASSAWADOX, VA 23413
- **Practice address phone:** (757) 414-8000
- **Mailing address:** 3105 AMERICAN LEGION RD, STE E, CHESAPEAKE, VA 23321-5654
- **Mailing address phone:** (757) 483-7706
- **Mailing address fax:** (757) 483-7726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 0101034675 | VA | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 04/20/2008