Individual
AMELIA H. RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1971
(757) 668-7320
(757) 668-9735
Mailing address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101251797
VA
207LP3000X
Pediatric Anesthesiology Physician
Primary
0101251797
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2007
Last updated
02/18/2019
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