| NPI | 1477810265 |
|---|---|
| Former Legal Business Name | RANDLEMAN MEDICAL CLINIC PLLC |
| Entity Type | Organization |
| Authorized Contact | REGINA FAITH HODGE Owner 336-498-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2025-08-05 |