Organization
RANDOLPH SPECIALTY GROUP PRACTICE
Active
Other names
Central Carolina Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SCOTT CLAUSER (PRESIDENT)
(336) 625-2333
Entity
Organization
Contact information
Practice address
132 W MILLER ST STE C, ASHEBORO, NC 27203-4775
(336) 626-3203
(336) 626-3230
Mailing address
PO BOX 5418, ASHEBORO, NC 27204-5418
(336) 625-2333
(336) 625-5511
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629375951
—
NC
Enumeration date
08/04/2017
Last updated
02/21/2020
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