Individual
DR. CARLTON DUANE RANDLEMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2704 20TH ST S, STE 100, BIRMINGHAM, AL 35209-1924
(205) 592-1800
Mailing address
2704 20TH ST S, # 100, BIRMINGHAM, AL 35209-1924
(205) 592-1800
(205) 592-1752
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
16019
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000086920
—
AL
05
—
009932786
—
AL
05
—
009978850
—
AL
01
—
051086920
BLUE CROSS - 860 MONT RD
AL
01
—
051506128
BLUE CROSS - 48 MED PARK
AL
01
—
051529501
BLUE CROSS - 2660 10TH AV
AL
Enumeration date
06/06/2006
Last updated
02/14/2017
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