Individual
RANDALL L HOLCOMB
Active
Individual
RANDALL L HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
12265
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107443001
—
AR
05
—
110318002
—
AR
05
—
14670
—
MS
01
—
200022154
RAILROAD MEDICARE
TN
01
—
2614528
CIGNA
TN
05
—
3004063
—
TN
05
—
3371161
—
TN
01
—
4025293
AETNA
TN
01
—
620819926
BCBS
MS
01
—
620819926
AETNA
TN
05
—
7187860
—
MS
01
—
72209
BCBS
TN
Enumeration date
05/23/2005
Last updated
10/02/2012
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