Individual
MRS. ELIZABETH VANCE RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3786 CENTRAL PIKE, SUITE 130, HERMITAGE, TN 37076-3497
(615) 883-2200
Mailing address
3786 CENTRAL PIKE, SUITE 130, HERMITAGE, TN 37076-3497
(615) 883-2200
(615) 883-1104
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD0000051215
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2011
Last updated
06/08/2014
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