Organization · Type 2 NPI

Randolph Specialty Group Practice

Family Medicine Physician · Liberty, NC

NPI number 1477721785 Active

Practice location

525 W Swannanoa Ave
Liberty, NC 27298-3136

Call (336) 622-4850 Map

Fax (336) 622-4855

Mailing address

PO Box 5418
Asheboro, NC 27204-5418

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5 other providers at this address

Other family medicine physician providers in Liberty

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NPI record

NPI: 1477721785
Entity type: Organization (Type 2)
Issued: Feb 20, 2008
Last updated: Feb 24, 2020
Status: Active

Other names

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Randolph Health Family Practice · doing business as
Randolph Health Family Practice · doing business as

Authorized official

Robert Scott Clauser
Executive Director
(336) 625-2333

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1477721785

Randolph Specialty Group Practice's National Provider Identifier is 1477721785, issued on Feb 20, 2008. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Liberty, NC. The record was last updated on Feb 24, 2020.