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Randy Lee Province
Family Medicine Physician in Floyd, Virginia
NPI 1033616719

Randy Lee Province is a Family Medicine Physician based in Pembroke, VA. Randy Lee Province practices in Floyd, VA. The NPI Number for Randy Lee Province is 1033616719 and holds a License No. (Virginia).

The current practice location address for Randy Lee Province is 911 E Main St, Floyd, VA and can be reached out via phone at 540-745-0231 and via fax at 540-745-4028.

Location: 911 E Main St, Floyd, VA, 24136-3003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033616719
Provider Name
Randy Lee Province
Credential
Provider Entity Type
Individual
Gender
Female
Address
911 E Main St, Floyd, VA, 24136-3003
Phone Number
540-745-0231
Fax Number
540-745-4028
Provider Enumeration Date
04/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
911 E Main St
City
Floyd
State
Virginia
Zip
24091-4183
Phone Number
540-745-0231
Fax Number
540-745-4028
person
Provider Business Mailing Address Details
Address
911 E Main St
City
Floyd
State
Virginia
Zip
24091-4183
Phone Number
540-745-0231
Fax Number
540-745-4028
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
0102206605 (Virginia)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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