Individual provider · Type 1 NPI
Mark Patrick Randolph, PA-C
Medical Physician Assistant · Wilson, NC
NPI number
1952394629
Active
Practice location
2503 Wooten Blvd SW
Wilson, NC 27893-4426
Fax (252) 243-2917
Mailing address
PO Box 3127
Wilson, NC 27895-3127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 103783 (NC) |
Medical Physician Assistant: Definition to come...
Another provider at this address
Other medical physician assistant providers in Wilson
- Tracy Bowman, PAMedical Physician Assistant Wilson, NC NPI 1043228729
- Andrew Patrick Fink, PA-CMedical Physician Assistant Wilson, NC NPI 1356861694
- Mark Eldridge, P.A.Medical Physician Assistant Wilson, NC NPI 1578686804
- Catherine S. Warren, PA-CMedical Physician Assistant Wilson, NC NPI 1669433371
- Andrea Hubbard Barfield, PA-CMedical Physician Assistant Wilson, NC NPI 1750539318
- David C. Propst, PA-CMedical Physician Assistant Wilson, NC NPI 1790923308
About NPI 1952394629
Mark Patrick Randolph, PA-C's National Provider Identifier is 1952394629, issued on Aug 26, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wilson, NC. The record was last updated on Dec 8, 2020.