Individual
MRS. SANDRA MCKNIGHT RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4100 N MAIN ST STE 201, COLUMBIA, SC 29203-5800
(803) 814-2112
Mailing address
144 TANNOCK CT, LEXINGTON, SC 29072-7967
(803) 996-0614
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APN840
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN840
SC
Other
Enumeration date
03/20/2007
Last updated
02/09/2026
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