Individual
MR. RANDY A EARLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
700 SHERRILL ST, SUITE B, UNION CITY, TN 38261-5891
(731) 884-3900
(731) 884-3901
Mailing address
131 SAUNDERSVILLE RD, SUITE 160, HENDERSONVILLE, TN 37075-8903
(901) 203-2901
(901) 779-6968
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11065
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q013847
—
TN
01
—
Q47291
UPIN
—
Enumeration date
04/21/2006
Last updated
07/14/2016
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