Dr RANDLE S MISKELLY NP is a male medical professional, specializing in Nurse Practitioner. He graduated in 2004.
MAIN STREET FAMILY MEDICINE INC
1306 HWY 45 N
HENDERSON
TN
383404003
Tel: 7319899899
| Npi | 1013948066 |
| Pac Id | 2365452851 |
| Professional Enrollment Id | I20060427000692 |
| Last Name | MISKELLY |
| First Name | RANDLE |
| Middle Name | S |
| Suffix | |
| Gender | M |
| Credential | NP |
| Medical School Name | OTHER |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
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| Organization Legal Name | MAIN STREET FAMILY MEDICINE INC |
| Group Practice Pac Id | 8022039718 |
| Number Of Group Practice Members | 5 |
| Line 1 Street Address | 1306 HWY 45 N |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | HENDERSON |
| State | TN |
| Zip Code | 383404003 |
| Phone Number | 7319899899 |
| Hospital Affiliation Ccn 1 | 440002 |
| Hospital Affiliation Lbn 1 | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 440109 |
| Hospital Affiliation Lbn 2 | HARDIN MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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