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Individual

RANDALL LEE NORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1004 1ST ST N STE 390, ALABASTER, AL 35007-8616
(205) 620-7523
Mailing address
1004 1ST ST N STE 390, ALABASTER, AL 35007-8616
(205) 620-7523

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
2023025752
MO
363AS0400X
Surgical Physician Assistant
5387
SC
363AS0400X
Surgical Physician Assistant
Primary
PA.763
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051120556
BCBS
AL
01
051120557
BCBS
AL
01
051120559
BCBS
AL
05
06021281
MS
05
133030
AL
05
133034
AL
05
133039
AL
05
7901940
NC
01
970024545
RAILROAD MEDICARE
NC
01
S17209
VIVA
AL
Enumeration date
01/04/2007
Last updated
09/17/2024
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