Individual
M. BARRY RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
29321
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
29321
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121423
—
MS
05
—
133395001
—
AR
05
—
1532078
—
TN
Enumeration date
12/02/2005
Last updated
02/25/2025
Update your record
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