Wendell Lewis Randall
General Practice Physician Family Doctor - Addiction Medicine
956 N Main St
Mount Airy
, North Carolina 27030-3747
Wendell Lewis Randall
General Practice Physician Family Doctor - Addiction Medicine
956 N Main St
Mount Airy
, North Carolina 27030-3747
(336) 648-8551
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About
Features
Specialties
- Family Doctor - Addiction Medicine
- General Practice Physician
Languages spoken
- English
Location
First Address
- Wendell Lewis Randall
- 956 N Main St
- Mount Airy, NC
- Zip : 27030-3747
- Fax : (336) 648-8551
- Phone : (336) 648-8552
Second Address
- Wendell Lewis Randall
- 956 N Main St
- Mount Airy, NC
- Zip : 27030-3747
- Fax : (336) 648-8551
- Phone : (336) 648-8552
Reviews
FAQs
Where did Wendell Lewis Randall attend graduate school?
Where did Wendell Lewis Randall do his residency?
Where did Wendell Lewis Randall do his fellowship?
Is Wendell Lewis Randall board certified?
In what state does Wendell Lewis Randall practice in?
Where is Wendell Lewis Randall ’s practice located?
What is Wendell Lewis Randall ’s gender?
Is Wendell Lewis Randall a sole practitioner?
Is Wendell Lewis Randall accepting new patients?
What languages does Wendell Lewis Randall speak?
Does Wendell Lewis Randall accept insurance?
Does Wendell Lewis Randall offers telemedicine?
What is Wendell Lewis Randall ’s professional license number?
What is Wendell Lewis Randall ’s NPI number?
Does Wendell Lewis Randall have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QA0401X | Family Doctor - Addiction Medicine | 36016 | NC |
| N | 208D00000X | General Practice Physician | 36016 | NC |
National Provider Identifier
| NPI | 1902856065 |
|---|---|
| Provider Name | Wendell Lewis Randall |
| First Address | Mount Airy, NC 27030-3747 |
| Second Address | Mount Airy, NC 27030-3747 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/05/2006 |
| Last Update Date | 15/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 70121 | BCBS INDIVIDUAL (01) | NC |
| 89070121 | (05) | NC |
| F94168 | (02) | NC |
| VVF492B944 | MEDICARE NUMBER (01) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.