Individual
RANDY JAMES LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2817 ROCK MERRITT AVE STOP A, FORT LIBERTY, NC 28310-6878
(910) 907-6323
Mailing address
2817 ROCK MERRITT AVE, FORT LIBERTY, NC 28310-0001
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN144531
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000934271C
—
GA
Enumeration date
05/03/2006
Last updated
01/27/2025
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