Individual
DR. RANDALL L. NANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
120-HWY 6 W, BATESVILLE, MS 38606
(662) 360-1789
(662) 360-1791
Mailing address
200 GREENBRIAR LOOP, OXFORD, MS 38655-2760
(601) 513-2401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10479
MS
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
10479
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116402
—
MS
Enumeration date
01/19/2006
Last updated
11/20/2019
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