Dr SANDRA D RANDOLPH is a female medical professional, specializing in Nurse Practitioner. She graduated in 1995.
WAL-MART STORES EAST LP
2240 W DEKALB ST
CAMDEN
SC
290202069
Tel: 8039006028
| Npi | 1164547071 |
| Pac Id | 5799926580 |
| Professional Enrollment Id | I20130719000565 |
| Last Name | RANDOLPH |
| First Name | SANDRA |
| Middle Name | D |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1995 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | WAL-MART STORES EAST LP |
| Group Practice Pac Id | 6204749997 |
| Number Of Group Practice Members | 29 |
| Line 1 Street Address | 2240 W DEKALB ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | CAMDEN |
| State | SC |
| Zip Code | 290202069 |
| Phone Number | 8039006028 |
| Hospital Affiliation Ccn 1 | |
| Hospital Affiliation Lbn 1 | |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| 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 | M |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.