Lilly J Randolph (NPI# 1467402446, PAC ID# 7517974272) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1467402446 |
| PAC ID by PECOS | 7517974272 |
| Professional Enrollment ID | I20060321000609 |
| Full Name | Lilly J Randolph |
| Address |
2719 Middleburg Dr Suite 103 Columbia SC 29204-2414 |
| Phone Number | 8803931834 |
| Gender | F |
| Credential | MD |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420018 | PALMETTO HEALTH RICHLAND |
| Address | Phone | Organization |
|---|---|---|
| 2719 Middleburg Dr, Suite 103, Columbia, SC 29204-2414 | 8803931834 |
| Street Address |
2719 MIDDLEBURG DR SUITE 103 |
| City | COLUMBIA |
| State | SC |
| Zip | 29204-2414 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Obinna Nwanagu | Obstetrics/gynecology | 2719 Middleburg Dr, Suite 105, Columbia, SC 29204-2414 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Jaynes Belk | Nurse Practitioner | Providence Group Practices II LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Benedict R Studnicka | Internal Medicine | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Charis P Taylor | Internal Medicine | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Brittany Winestock | Nurse Practitioner | Providence Group Practices II LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Susan K Caudle | Physician Assistant | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Stephen Mullaney | Nurse Practitioner | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Ala Bianca Naomi Lucky | Nurse Practitioner | Providence Group Practices II LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Kaitlin N Corwin | Physician Assistant | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Lanneau D Lide | Cardiovascular Disease (cardiology) | Providence Group Practices LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Stephanie C Peterson | Physician Assistant | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Find all physicians in zip 29204 | |||
| City | COLUMBIA |
| Zip Code | 29204 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | COLUMBIA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Lilly J Randolph.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.