Individual
MARK LEE RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 CARRAWAY DR, SUITE 2, WINFIELD, AL 35594-5048
(205) 487-7661
Mailing address
200 CARRAWAY DR, SUITE 2, WINFIELD, AL 35594-5048
(205) 487-7661
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18944
AL
208600000X
Surgery Physician
MD.18944
AL
Other
Enumeration date
09/08/2011
Last updated
01/06/2022
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