Individual
RANDI PAIGE WINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 W STONE DR, KINGSPORT, TN 37660-2360
(573) 882-1767
Mailing address
2300 W STONE DR, KINGSPORT, TN 37660-2360
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2021015046
MO
207N00000X
Dermatology Physician
Primary
71147
TN
207R00000X
Internal Medicine Physician
2020014443
MO
Other
Enumeration date
06/24/2020
Last updated
06/14/2024
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