Individual
DR. RANDY DOUGLAS PROFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6317 PICCADILLY SQUARE DR, MOBILE, AL 36609-5103
(251) 344-0322
(251) 344-0395
Mailing address
6317 PICCADILLY SQUARE DR, MOBILE, AL 36609-5103
(251) 344-0322
(251) 344-0395
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
16402
AL
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
16402
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051531824
BLUE CROSS
AL
Enumeration date
07/16/2006
Last updated
03/21/2026
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