Organization
RANDLEMAN FAMILY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNDA KELLY (OWNER)
(336) 907-7201
Entity
Organization
Contact information
Practice address
2806 RANDLEMAN RD STE J, GREENSBORO, NC 27406-5266
(336) 907-7201
Mailing address
2806 RANDLEMAN RD STE J, GREENSBORO, NC 27406-5266
(336) 907-7201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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