Mark Patrick Randolph, PA-C Valid NPI

Individual provider · Medical Physician Assistant · Wilson, NC

NPI

1952394629

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

103783 (NC)

Sex

Male

Sole proprietor

Yes

Enumerated

2005-08-26

Last updated

2020-12-08