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Organization

RANDOLPH SPECIALTY GROUP PRACTICE

Active
Other names
Randolph Health Internal Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT SCOTT CLAUSER (EXECUTIVE DIRECTOR)
(336) 625-2333
Entity
Organization

Contact information

Practice address
237 N FAYETTEVILLE ST STE A, ASHEBORO, NC 27203-5573
(336) 625-3248
(336) 625-6629
Mailing address
PO BOX 5418, ASHEBORO, NC 27204-5418
(336) 625-2333
(336) 625-5511

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0248R
BCBS GROUP NUMBER
NC
05
890248R
NC
Enumeration date
03/29/2006
Last updated
02/21/2020
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