Individual provider · Type 1 NPI

Samantha Randolph, MLT(ASCP)

Student Health Clinic/Center · Columbia, SC

NPI number 1619633450 Active

Practice location

6439 Garners Ferry Rd
Columbia, SC 29209-1638

Call (803) 776-4000 Map

Mailing address

1283 Heins Rd
Blythewood, SC 29016-8924

Specialties and licenses

TaxonomyCodeLicense
Medical Technologist 246QM0706XNone listed
Student Health Clinic/Center Primary 261QS1000XNone listed

Student Health Clinic/Center: Definition to come...

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About NPI 1619633450

Samantha Randolph, MLT(ASCP)'s National Provider Identifier is 1619633450, issued on Nov 16, 2021. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Columbia, SC. The record was last updated on Nov 16, 2021.