Organization
RANDLEMAN MEDICAL CENTER
Active
Other names
Randleman Medical Clinic PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA FAITH HODGE (OWNER)
(336) 498-8500
Entity
Organization
Contact information
Practice address
670 W ACADEMY ST, RANDLEMAN, NC 27317-9748
(336) 498-8500
(336) 498-8522
Mailing address
670 W ACADEMY ST, RANDLEMAN, NC 27317-9748
(336) 498-8500
(336) 498-8522
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477810265
NPI
NC
05
—
5920523
—
NC
Enumeration date
04/18/2012
Last updated
08/05/2025
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