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Mr. Christopher David Randall JR.
Student in an Organized Health Care Education/Training Program in Dothan, Alabama
NPI 1932646650

Christopher David Randall JR. is a Student in an Organized Health Care Education/Training Program based in Dothan, AL. Christopher David Randall JR. practices in Dothan, AL. The NPI Number for Christopher David Randall JR. is 1932646650 and holds a License No. 8151510 (Alabama).

The current practice location address for Christopher David Randall JR. is 1017 Lucy Grade Rd, Dothan, AL and can be reached out via phone at 334-796-5444.

Location: 1017 Lucy Grade Rd, Dothan, AL, 36301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932646650
Provider Name
Christopher David Randall JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1017 Lucy Grade Rd, Dothan, AL, 36301
Phone Number
334-796-5444
Fax Number
Provider Enumeration Date
01/20/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1017 Lucy Grade Rd
City
Dothan
State
Alabama
Zip
36301-8075
Phone Number
334-796-5444
Fax Number
person
Provider Business Mailing Address Details
Address
1017 Lucy Grade Rd
City
Dothan
State
Alabama
Zip
36301-8075
Phone Number
334-796-5444
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
8151510 (Alabama)
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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