Organization
RANDOLPH WOMENS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA W RANDOLPH M.D. (OWNER/PARTNER)
(901) 346-9116
Entity
Organization
Contact information
Practice address
661 S PARKWAY E, MEMPHIS, TN 38106-5617
(901) 346-9116
Mailing address
PO BOX 1000, DEPT. 299, MEMPHIS, TN 38148-5617
(901) 346-9116
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3373068
—
TN
Enumeration date
08/31/2006
Last updated
06/14/2010
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