Individual
MR. CHRISTOPHER DAVID RANDALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1017 LUCY GRADE RD, DOTHAN, AL 36301-8075
(334) 796-5444
Mailing address
1017 LUCY GRADE ROAD, DOTHAN, AL 36301
(334) 796-5444
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
8151510
AL
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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