Individual
AMANDA NICOLE RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO
Contact information
Practice address
470 COPPERFIELD BLVD NE, CONCORD, NC 28025-2404
(704) 782-0908
Mailing address
470 COPPERFIELD BLVD NE, CONCORD, NC 28025-2404
(704) 782-0908
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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