Individual
AMY LYNN RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
934 COX RD, GASTONIA, NC 28054-3456
(980) 834-5864
(704) 864-0288
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5007853
NC
363LF0000X
Family Nurse Practitioner
Primary
5007853
NC
Other
Enumeration date
07/22/2015
Last updated
04/09/2025
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