Individual
MR. RANDALL CEDRIC PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(334) 727-0550
Mailing address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(334) 727-0550
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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