Individual
RANDOL B MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1068 CRESTHAVEN RD, SUITE 150, MEMPHIS, TN 38119-0800
(901) 682-2872
(901) 682-9316
Mailing address
PO BOX 171181, MEMPHIS, TN 38187-1181
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN16922
TN
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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