Individual
JOSEPH L RANDALL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 LOWELL DR SE, SUITE 104, HUNTSVILLE, AL 35801-3754
(256) 535-5968
(256) 535-5986
Mailing address
420 LOWELL DR SE, SUITE 103, HUNTSVILLE, AL 35801-3754
(256) 535-5940
(256) 535-5954
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12248
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000017124
—
AL
01
—
0004027926
AETNA
—
01
—
51017124
BLUE CROSS BLUE SHIELD
AL
01
—
630958710
TAX ID
—
Enumeration date
11/09/2005
Last updated
12/07/2009
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