Individual
RANDY K MCLAUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1916 BROOKSIDE DR, KINGSPORT, TN 37660-4602
(423) 392-6000
(423) 392-6030
Mailing address
1916 BROOKSIDE DR, KINGSPORT, TN 37660-4602
(423) 392-6000
(423) 392-6030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD10825
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0083469
BCBS
TN
05
—
1205892312
—
VA
05
—
3184565
—
TN
05
—
Q003312
—
TN
Enumeration date
04/26/2006
Last updated
02/16/2017
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