Individual
RANDALL G WHITLOCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1430 COLUMBUS AVE, WASHINGTON COURT HOUSE, OH 43160
(740) 620-4069
(740) 620-4072
Mailing address
1430 COLUMBUS AVE, WASHINGTON COURT HOUSE, OH 43160-1703
(740) 620-4069
(740) 620-4072
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001262
OH
Other
Enumeration date
05/05/2006
Last updated
08/22/2018
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