Individual
RANDALL W CLENDENIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO, C-PED
Contact information
Practice address
2301 N CHURCH ST, GREENSBORO, NC 27405-4309
(336) 333-9081
(336) 333-9083
Mailing address
2301 N CHURCH ST, GREENSBORO, NC 27405-4309
(336) 333-9081
(336) 333-9083
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7795035
—
NC
Enumeration date
01/17/2007
Last updated
07/09/2007
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