Individual
DR. MARCUS EDDIE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE STREET, DEPARTMENT OF RADIATION MEDICINE, LEXINGTON, KY 40536
(859) 257-7618
(859) 257-7483
Mailing address
800 ROSE STREET, DEPARTMENT OF RADIATION MEDICINE, LEXINGTON, KY 40536
(859) 257-7618
(859) 257-7483
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
01042349A
NC
2085R0001X
Radiation Oncology Physician
Primary
40518
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70124
BCBS NC
NC
05
—
8970124
—
NC
Enumeration date
10/03/2005
Last updated
12/12/2022
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