Individual
ALTHEAL RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
340 COUNTY ROAD 126, JEMISON, AL 35085-3106
(205) 908-8304
(205) 688-2545
Mailing address
340 COUNTY ROAD, JEMISON, AL 35085-3106
(205) 908-8304
(205) 688-2545
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA190
AL
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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