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Individual

SANDRA BOYLAND RANDOLPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7424 US HIGHWAY 64, SUITE 111, MEMPHIS, TN 38133-3986
(901) 385-7817
(901) 383-2150
Mailing address
7424 US HIGHWAY 64, SUITE 111, MEMPHIS, TN 38133-3986
(901) 385-7817
(901) 383-2150

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26259
TN

Other

Enumeration date
02/22/2006
Last updated
10/29/2008
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