Individual
REESE W. RANDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-0545
(336) 716-9758
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-0545
(336) 716-9758
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
50013
KY
208600000X
Surgery Physician
63348-20
WI
Other
Enumeration date
03/23/2009
Last updated
07/17/2020
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