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Individual

MR. RANDLE THOMAS MIDDLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2089 CECIL ASHBURN DRIVE, SUITE 101, HUNTSVILLE, AL 35802
(256) 882-7351
(256) 489-2322
Mailing address
2089 CECIL ASHBURN DRIVE, SUITE 101, HUNTSVILLE, AL 35802
(256) 882-7351
(256) 489-2322

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18862
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51038324
BCBS
Enumeration date
05/08/2006
Last updated
05/09/2013
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