Organization
RANDLE T. MIDDLETON MD, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDLE THOMAS MIDDLTON M.D. (OWNER)
(256) 882-7351
Entity
Organization
Contact information
Practice address
2089 CECIL ASHBURN DR SE, SUITE 101, HUNTSVILLE, AL 35802-2567
(256) 882-7351
(256) 489-2322
Mailing address
2089 CECIL ASHBURN DR SE, SUITE 101, HUNTSVILLE, AL 35802-2567
(256) 882-7351
(256) 489-2322
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18862
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000038324
MEDICARE PROVIDER NUMBER
AL
Enumeration date
01/08/2009
Last updated
11/09/2012
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