| NPI | 1215691266 |
|---|---|
| Doing Business As | RANDOLPH CLINIC LLC |
| Entity Type | Organization |
| Authorized Contact | NIK J OOI Nurse Practitioner 434-409-7543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2021-10-26 |