Individual provider · Type 1 NPI

Christopher David Randall Jr.

Student in an Organized Health Care Education/Training Program · Dothan, AL

NPI number 1932646650 Active

Practice location

1017 Lucy Grade Rd
Dothan, AL 36301-8075

Call (334) 796-5444 Map

Mailing address

1017 Lucy Grade Road
Dothan, AL 36301

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X8151510 (AL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1932646650

Christopher David Randall Jr.'s National Provider Identifier is 1932646650, issued on Jan 20, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dothan, AL. The record was last updated on Jan 20, 2017.