Individual
MS. MIA DAWN RANDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
34 GLENWOOD DR, COLUMBUS, MS 39705-1596
(662) 307-7099
Mailing address
203 JIM ALLEN BLAKE RD, CEDARBLUFF, MS 39741-7048
(662) 307-7099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
907911
MS
Other
Enumeration date
03/27/2018
Last updated
11/05/2025
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