Individual
DR. NATALIE NICOLE RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1181 FIRST COLONIAL RD, SUITE 200, VIRGINIA BEACH, VA 23454-2437
(757) 425-1600
(757) 425-6495
Mailing address
1181 FIRST COLONIAL RD, SUITE 200, VIRGINIA BEACH, VA 23454-2437
(757) 425-1600
(757) 425-6495
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101251938
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101251938
LICENSE
VA
Enumeration date
06/14/2007
Last updated
04/14/2015
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