Individual
RANDALL L HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6286 BRIARCREST AVE, SUITE 200, MEMPHIS, TN 38120-4023
(901) 259-1600
(901) 259-2785
Mailing address
PO BOX 8888, BELFAST, ME 04915-8888
(901) 259-4260
(901) 259-2785
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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