Individual
RANDALL PARKS FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 ALCORN DR, SUITE 100, CORINTH, MS 38834-9302
(662) 286-6369
(662) 286-2768
Mailing address
611 ALCORN DR, SUITE 100, CORINTH, MS 38834-9302
(662) 286-6369
(662) 286-2768
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
12016
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015139
—
MS
Enumeration date
07/26/2006
Last updated
01/22/2018
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