| Wendell Lewis Randall, MD | |
|
956 N Main St, Mount Airy, NC 27030-3747 | |
| (336) 648-8550 | |
| (336) 648-8551 |
| Full Name | Wendell Lewis Randall |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 956 N Main St, Mount Airy, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902856065 | NPI | - | NPPES |
| VVF492B944 | Other | VA | MEDICARE NUMBER |
| 70121 | Other | NC | BCBS INDIVIDUAL |
| 89070121 | Medicaid | NC | |
| 36016 | Other | NC | NORTH CAROLINA MEDICAL BOARD MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 36016 (North Carolina) | Primary |
| 208D00000X | General Practice | 36016 (North Carolina) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Wendell Lewis Randall, MD 956 N Main St, Mount Airy, NC 27030-3747 Ph: (336) 648-8550 | Wendell Lewis Randall, MD 956 N Main St, Mount Airy, NC 27030-3747 Ph: (336) 648-8550 |
Dr. Robert Lee Smith, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 830 Rockford St, Mount Airy, NC 27030 Phone: 336-719-7124 Fax: 336-719-7457 |