Individual
CHRISTOPHER SCOTT RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 LEIGHTON AVE, SUITE 303, ANNISTON, AL 36207-5700
(256) 235-0744
(256) 235-0761
Mailing address
PO BOX 1782, ANNISTON, AL 36202-1782
(256) 235-0744
(256) 235-0761
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16710
AL
2084P0805X
Geriatric Psychiatry Physician
16710
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000084612
—
AL
01
—
00260
BCBS FEP
AL
Enumeration date
11/23/2005
Last updated
01/23/2024
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