Individual
DR. RANDALL M. MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 TYSON AVE, HENRY COUNTY MEDICAL CENTER EMERGENCY DE, PARIS, TN 38242-4544
(731) 644-8445
(731) 644-8446
Mailing address
PO BOX 1149, BELLS, TN 38006-1149
(731) 512-0494
(731) 512-0497
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
632449
TN
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD025183
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3097925
—
TN
01
—
3119997
BCBS
TN
Enumeration date
05/17/2006
Last updated
03/03/2015
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