MR. CHRISTOPHER DAVID RANDALL JR.


Address: 1017 Lucy Grade Rd, Dothan, AL 36301-8075
Phone: 3347965444

MR. CHRISTOPHER DAVID RANDALL JR. (NPI# 1932646650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932646650
Entity Type Individual
Full Name MR. CHRISTOPHER DAVID RANDALL JR.
Practice Address 1017 Lucy Grade Rd
Dothan
AL 36301-8075
Mailing Address 1017 Lucy Grade Road
Dothan
AL 36301
Practice Telephone 3347965444
Mailing Telephone 3347965444
Enumeration Date 2017-01-20
Last Update Date 2017-01-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program 8151510 AL Student, Health Care

Other Providers CHRISTOPHER RANDALL

NPI Name Taxonomy Address Enumeration
1164829446 Christopher Randall Specialist 124 Murray Dr, Dayton, OH 45403-2846 2014-12-02
1154937001 Christopher Randall Physician Assistant 250 S Crescent Dr, Mason City, IA 50401-2926 2020-09-16
1861719924 Christopher Reed Randall Anesthesiology 401 Matthew St, Marietta, OH 45750-1635 2010-04-29

Office Location

Street Address 1017 LUCY GRADE RD
City DOTHAN
State AL
Zip Code 36301-8075

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043862931 Pharmacy Center South LLC Pharmacy 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 2019-07-11
1851879167 Attallah Cotton Social Worker 101 Eastridge Dr, Dothan, AL 36301 2018-07-31
1225522709 Nichole Johnson Prestwood Nurse Practitioner 2431 W Main St Ste 501, Dothan, AL 36301 2018-06-19
1750805818 Kimberly Danielle Austin Speech-Language Pathologist 404 Darlington Cir, Dothan, AL 36301 2017-07-31
1952794885 Lori P. Granberry Pharmacist 2131 Ross Clark Circle, Dothan, AL 36301 2015-03-17
1801286059 Robert Cody Russell Nurse Practitioner 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 2015-01-27
1720407646 Michael Kreger Anesthesiology 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 2014-04-08
1063851277 Carlos Stanford Clark II Family Medicine 201 Doctors Drive, Dothan, AL 36301 2013-06-20
1639489313 Robert Fort Hambaugh Jr. Specialist 712 Woodland Drive, Dothan, AL 36301 2010-10-15
1588894976 Atwill Lamar Miller Jr. Urology 1908 Fairview Avenue, Dothan, AL 36301 2009-07-20
Find all providers in zip 36301

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy 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.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841813664 Oluwafemi Odunayo Osunnuga Student in an Organized Health Care Education/Training Program 445 Health Sciences Blvd Apt 5205, Dothan, AL 36303-6904 2020-05-27
1801425954 Fateeha Tariq Student in an Organized Health Care Education/Training Program 1108 Ross Clark Circle, Suite 210, Dothan, AL 36302 2020-04-01
1831723618 David Ivan Bermejo Student in an Organized Health Care Education/Training Program 445 Health Sciences Blvd, Dothan, AL 36303-6904 2020-03-02
1124658638 Cecilia Marie Hughes Student in an Organized Health Care Education/Training Program 892 Royal Pkwy, Dothan, AL 36305-9424 2020-01-23
1801426317 Mackenzie Erin Hill Student in an Organized Health Care Education/Training Program 121 Greenview Cir, Dothan, AL 36301-7823 2020-01-23
1922638436 Jaden Chandler Student in an Organized Health Care Education/Training Program 1259 Campbellton Hwy, Dothan, AL 36301-7624 2020-01-23
1720618234 Belinda Casey Carter Student in an Organized Health Care Education/Training Program 2631 N County Road 49, Dothan, AL 36305-5141 2020-01-23
1750866182 James Case Student in an Organized Health Care Education/Training Program 1108 Ross Clark Cir Ste 210, Dothan, AL 36301-3022 2018-10-02
1306231428 Jimmy Huynh Student in an Organized Health Care Education/Training Program 571 Trawick Rd, Dothan, AL 36305-4219 2015-04-06
1225423635 Dan Fortin Student in an Organized Health Care Education/Training Program 2618 Rosebush Rd, Dothan, AL 36303-5521 2015-04-02
Find all providers in DOTHAN

Competitor

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City DOTHAN
Zip Code 36301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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