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Individual

MR. RANDY HOWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
107 GLEN OAK BLVD, SUITE 202, HENDERSONVILLE, TN 37075
(615) 826-0710
(615) 826-0910
Mailing address
107 GLEN OAK BLVD, SUITE 202, HENDERSONVILLE, TN 37075
(615) 826-0710
(615) 826-0910

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
39358
TN
207RG0100X
Gastroenterology Physician
M0000039358
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11491546
CAQH PROVIDER NUMBER
TN
05
3331737
TN
01
3983866
AETNA PROVIDER NUMBER
TN
01
4109554
BCBS PROVIDER NUMBER
TN
01
6591329
CIGNA PROVIDER NUMBER
TN
01
9398195
PHCS PROVIDER NUMBER
TN
01
H90812
HEALTHSPRING PROVIDER NUM
TN
01
M000039358
STATE LICENSE NUMBER
TN
Enumeration date
12/07/2005
Last updated
11/05/2025
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