Individual
FIELDING ARTHUR MINTER RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
294 SUMMAR DR, JACKSON, TN 38301-3915
(731) 423-1932
(731) 410-0367
Mailing address
294 SUMMAR DR, DEPT 289, JACKSON, TN 38301-3915
(731) 423-1932
(731) 410-0367
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
46437
TN
Other
Enumeration date
04/15/2009
Last updated
10/01/2012
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