Individual
MR. RANDALL JAMES BRILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 N. HIGHLAND AVENUE, MIDDLE TN MEDICAL CENTER, MURFREESBORO, TN 37133
(615) 396-4489
Mailing address
PO BOX 1069, MADISON, TN 37116-1069
(615) 868-1266
(615) 868-1316
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
25282
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3049004
BLUE CROSS
TN
05
—
3083843
—
TN
Enumeration date
03/23/2006
Last updated
07/08/2007
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