Individual
RANDALL LEE PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 SPRING FOREST RD, GREENVILLE, NC 27834
(252) 752-4124
(252) 752-2044
Mailing address
420 SPRING FOREST RD, GREENVILLE, NC 27834-2892
(252) 752-4124
(252) 752-2044
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
2016-02476
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2013
Last updated
08/01/2018
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