Individual
RANDY W HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD APMC
Contact information
Practice address
484 COLLINS RD, COLUMBIA, LA 71418-3388
(318) 649-5300
(318) 649-0052
Mailing address
484 COLLINS RD, COLUMBIA, LA 71418-3388
(318) 649-5300
(318) 649-0052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
022410
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1663280
—
LA
Enumeration date
11/21/2005
Last updated
11/17/2016
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