Individual
DR. KATHERINE CRAGON RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
130 W VAN DORN AVE, HOLLY SPRINGS, MS 38635
(662) 252-3323
Mailing address
136 OXMOOR RDG, OXFORD, MS 38655-6033
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
957
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05500018
—
MS
Enumeration date
07/24/2014
Last updated
08/27/2018
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