Mark P. Randolph, PA-C
Physician Assistant · Wilson, NC
UnclaimedPA-CNPI 1952394629
- Primary taxonomy
- 363AM0700X
- Enumerated
- 2005-08-26
- Practice location
- Wilson, NC
- Last NPPES update
- 2020-12-08
State licenses
- NC · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.