MR. DERRICK RANDOLPH, RN

Nurse Practitioner - Family

Active Individual
NPI: 1760882690

Practice Address

1207 7TH ST S.E.
DECATUR/MORGAN HOSPITAL - PARKWAY CAMPUS
Decatur, GA 35601

Phone: (256) 341-2000

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No 1-090988 (AL)
Student in an Organized Health Care Education/Training Program 390200000X No 1-090988 (AL)
Nurse Practitioner - Family 363LF0000X Yes 1-090988 (AL)

Frequently Asked Questions

NPI 1760882690 is the National Provider Identifier for MR. DERRICK RANDOLPH, RN, a Nurse Practitioner - Family provider located in Decatur, GA. This NPI was enumerated on August 28, 2014.
MR. DERRICK RANDOLPH, RN practices at 1207 7TH ST S.E., DECATUR/MORGAN HOSPITAL - PARKWAY CAMPUS, Decatur, GA 35601.

Quick Facts

NPI
1760882690
Type
Individual
Enumerated
Aug 28, 2014
Last Updated
Jan 27, 2015

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