person
Carla R Randolph, PA
Surgical Physician Assistant in Tuscaloosa, Alabama
NPI 1629018411

Carla R Randolph is a Surgical Physician Assistant based in Tuscaloosa, AL and is specialized in Surgical. Carla R Randolph practices in Tuscaloosa, AL and has the professional credentials of PA. The NPI Number for Carla R Randolph is 1629018411 and holds a License No. PA-267 (Alabama).

The current practice location address for Carla R Randolph is 305 Paul Bryant Dr E, Tuscaloosa, AL and can be reached out via phone at 205-345-0192 and via fax at 205-247-2194.

Location: 305 Paul Bryant Dr E, Tuscaloosa, AL, 35401-2094
person
Provider Profile Details
NPI Number
1629018411
Provider Name
Carla R Randolph
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
305 Paul Bryant Dr E, Tuscaloosa, AL, 35401-2094
Phone Number
205-345-0192
Fax Number
205-247-2194
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51507969 01 AL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
305 Paul Bryant Dr E
City
State
Zip
35401-2094
Phone Number
205-345-0192
Fax Number
205-247-2194
person
Provider Business Mailing Address Details
Address
305 Paul Bryant Dr E
City
State
Zip
35401-2094
Phone Number
205-345-0192
Fax Number
205-247-2194
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA-267 (Alabama)
Definition
Definition to come...
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