Individual
RANDALL LEE NORD
Active
Individual
RANDALL LEE NORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
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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