Organization
RANDOLPH SPECIALTY GROUP PRACTICE
Active
Other names
Randolph Health Ear, Nose & Throat
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT SCOTT CLAUSER (EXECUTIVE DIRECTOR)
(336) 625-2333
Entity
Organization
Contact information
Practice address
124 N PARK ST, ASHEBORO, NC 27203-5440
(336) 625-1007
(336) 625-0350
Mailing address
PO BOX 5418, ASHEBORO, NC 27204-5418
(336) 625-2333
(336) 625-5511
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950054
—
NC
Enumeration date
09/11/2008
Last updated
02/21/2020
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