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Organization

RANDOLPH SPECIALTY GROUP PRACTICE

Active
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Organization

RANDOLPH SPECIALTY GROUP PRACTICE

Active
Other names
Randolph Health Urology
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT SCOTT CLAUSER (EXECUTIVE DIRECTOR)
(336) 625-2333
Entity
Organization

Contact information

Practice address
132 W MILLER ST, SUITE C, ASHEBORO, NC 27203-4775
(336) 521-4928
(336) 521-4929
Mailing address
PO BOX 5418, ASHEBORO, NC 27204-5418
(336) 626-2333
(336) 625-5511

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
200200335
NC

Other

Enumeration date
02/23/2011
Last updated
02/21/2020
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