Individual
MRS. RANDI KATHERINE POPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1483 TOBIAS GADSON BLVD, SUITE 102, CHARLESTON, SC 29407-8702
(843) 766-6229
(843) 766-2315
Mailing address
106 RIVERWOOD LN, SUMMERVILLE, SC 29485-6033
(843) 870-8489
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD19704
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197049
—
SC
Enumeration date
01/05/2006
Last updated
11/03/2024
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