Tabitha Randol M.D.

NPI 1073548913 - Pediatrics - 208000000X

NPI Details
NPI 1073548913
Gender Female
Enumeration Date 07/11/2006
Last Updated 10/04/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
4501 OLD SPARTANBURG RD
SUITE 9
TAYLORS SC, 29687-4105, US
Phone (864) 292-8868
Fax
Business Location
4501 OLD SPARTANBURG RD
SUITE 9
TAYLORS SC, 29687-4105, US
Phone (864) 292-8868
Fax
Toxanomy
Taxonomy Code 208000000X
License State South Carolina
License Number 27090
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According to our database, Dr. Tabitha Randol M.D. NPI is 1073548913, taxonomy code is 208000000X and license number is 27090, license state is located at South Carolina. Tabitha Randol M.D. physically located at 4501 Old Spartanburg Rd, Taylors SC, 29687-4105. NPI Number Tabitha Randol M.D. has the Individual type.

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1073548913 NPI number is provided on an as is basis without warranty of any kind. 1073548913 is maintained by the National Plan & Provider Enumeration System. The contents of Tabitha Randol M.D. are for informational purposes only.