Organization
RANDY D. PROFFITT, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY DOUGLAS PROFFITT (OWNER)
(251) 344-0322
Entity
Organization
Contact information
Practice address
6317 PICCADILLY SQUARE DR, MOBILE, AL 36609-5103
(251) 344-0322
(251) 344-0395
Mailing address
6317 PICCADILLY SQUARE DR, MOBILE, AL 36609-5103
(251) 344-0322
(251) 344-0395
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051531824
—
AL
01
—
51531824
BLUE CROSS
AL
Enumeration date
07/18/2006
Last updated
03/21/2026
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