Individual
JOHN RANDOLPH FOREHAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CLINIC DR, CLAYPOOL HILL, RICHLANDS, VA 24641-1100
(276) 964-1229
(276) 964-1354
Mailing address
PO BOX CVPI, RICHLANDS, VA 24641-1100
(276) 964-1229
(276) 964-1354
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101030006
VA
207K00000X
Allergy & Immunology Physician
20325
WV
207K00000X
Allergy & Immunology Physician
38298
KY
207RP1001X
Pulmonary Disease Physician
0101030006
VA
207RP1001X
Pulmonary Disease Physician
20325
WV
207RP1001X
Pulmonary Disease Physician
38298
KY
207RP1001X
Pulmonary Disease Physician
50578
TN
208000000X
Pediatrics Physician
0101030006
VA
208000000X
Pediatrics Physician
20325
WV
208000000X
Pediatrics Physician
38298
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010323118
—
VA
05
—
0112319-000
—
WV
01
—
083360
ANTHEM BCBS
—
01
—
50578
MEDICAL LICENSE
TN
05
—
6045359
—
VA
05
—
64664279
—
KY
Enumeration date
11/14/2005
Last updated
05/28/2020
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