Organization
RANDOLPH SPECIALTY GROUP PRACTICE
Active
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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