# RANDLEMAN MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1710920335
- **Authorized official:** DR. TANVIR A CHODRI MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (336) 498-8500

## Contact information

- **Practice address:** 702 S MAIN ST, RANDLEMAN, NC 27317-2102
- **Practice address phone:** (336) 498-8500
- **Practice address fax:** (336) 498-8522
- **Mailing address:** 702 S MAIN ST, RANDLEMAN, NC 27317-2102
- **Mailing address phone:** (336) 498-8500
- **Mailing address fax:** (336) 498-8522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 19463 | NC | Yes |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 03/29/2012