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MR. RANDALL BARRETT RATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2000
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 935-8292

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
126138
SC
367500000X
Certified Registered Nurse Anesthetist
22892
SC

Other

Enumeration date
05/29/2019
Last updated
04/14/2022
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