Individual
MR. RANDOLPH SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
572 E BEASLEY RD, JACKSON, MS 39206-3043
(601) 362-4471
Mailing address
572 E BEASLEY RD, JACKSON, MS 39206-3043
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
003962
GA
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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