Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 44535 | TN |
Y | 207RH0003X | Hematology & Oncology | 44535 | TN |
N | 207RH0003X | Hematology & Oncology | 81551 | SC |
N | 207RX0202X | Medical Oncology | 44535 | TN |
NPI | 1316148547 |
---|---|
Provider Name | Brion Vincent Randolph |
First Address | Memphis, TN 38148-0001 |
Second Address | Memphis, TN 38104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2007 |
Last Update Date | 21/11/2019 |