| Randolph Specialty Group Practice | |
|
700 Sunset Ave Asheboro NC 27203-5304 | |
| (336) 625-0305 | |
| (336) 625-9941 |
| Full Name | Randolph Specialty Group Practice |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 700 Sunset Ave, Asheboro, North Carolina |
| Authorized Official Name and Position | Robert Scott Clauser (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3366252333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph Specialty Group Practice Po Box 5418 Asheboro NC 27204-5418 Ph: (336) 625-2333 | Randolph Specialty Group Practice 700 Sunset Ave Asheboro NC 27203-5304 Ph: (336) 625-0305 |
| NPI Number | 1023396033 |
|---|---|
| Provider Enumeration Date | 07/25/2011 |
| Last Update Date | 02/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023396033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | (North Carolina) | Primary |
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