Individual
RANDALL STEPHAN CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4305
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019-00177
NC
208M00000X
Hospitalist Physician
Primary
2019-00177
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2016
Last updated
08/29/2024
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