Individual provider · Type 1 NPI

Carla R. Randolph, PA

Surgical Physician Assistant · Tuscaloosa, AL

NPI number 1629018411 Active

Practice location

305 Paul Bryant Dr E
Tuscaloosa, AL 35401-2094

Fax (205) 247-2194

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA-267 (AL)

Surgical Physician Assistant: Definition to come...

6 other providers at this address

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About NPI 1629018411

Carla R. Randolph, PA's National Provider Identifier is 1629018411, issued on Jun 8, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tuscaloosa, AL. The record was last updated on Jul 8, 2007.