Individual
DR. RANDALL EUGENE SCHISLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-7041
(336) 277-8851
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 718-7041
(336) 718-9622
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2007017281
MO
207R00000X
Internal Medicine Physician
2011-00653
NC
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
2011-00653
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366647067
—
NC
05
—
5918801
—
NC
05
—
Q0065R
—
SC
Enumeration date
06/20/2007
Last updated
06/14/2023
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