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Wendell Lewis Randall, MD
General Practice Physician in Mount Airy, North Carolina
NPI 1902856065

Wendell Lewis Randall is a General Practice Physician based in Mount Airy, NC. Wendell Lewis Randall practices in Mount Airy, NC and has the professional credentials of MD. The NPI Number for Wendell Lewis Randall is 1902856065 and holds a License No. 36016 (North Carolina).

The current practice location address for Wendell Lewis Randall is 956 N Main St, Mount Airy, NC and can be reached out via phone at 336-648-8550 and via fax at 336-648-8551.

Location: 956 N Main St, Mount Airy, NC, 27030-3747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902856065
Provider Name
Wendell Lewis Randall
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
956 N Main St, Mount Airy, NC, 27030-3747
Phone Number
336-648-8550
Fax Number
336-648-8551
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
VVF492B944 01 VA MEDICARE NUMBER
70121 01 NC BCBS INDIVIDUAL
89070121 05 NC
36016 01 NC NORTH CAROLINA MEDICAL BOARD MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
956 N Main St
City
Mount Airy
State
North Carolina
Zip
27030-3747
Phone Number
336-648-8550
Fax Number
336-648-8551
person
Provider Business Mailing Address Details
Address
956 N Main St
City
Mount Airy
State
North Carolina
Zip
27030-3747
Phone Number
336-648-8550
Fax Number
336-648-8551
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pathology
Speciality
Anatomic Pathology & Clinical Pathology
Taxonomy
207ZP0102X
License No.
36016 (North Carolina)
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
36016 (North Carolina)
Definition
Definition to come...
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