Individual
DONNA W RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1726 POPLAR AVE, MEMPHIS, TN 38104-6426
(901) 274-3550
(901) 274-3551
Mailing address
1726 POPLAR AVE, DEPT 299, MEMPHIS, TN 38104-6426
(901) 274-3550
(901) 274-3551
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD24938
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I165972
MEDICARE PTAN
TN
05
—
3093788
—
TN
05
—
3099789
—
TN
05
—
3373068
—
TN
Enumeration date
08/18/2005
Last updated
05/11/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us