SearchTennessee183500000X

Olivia Randolph

NPI 1700575230 · on the registry since 2023

Practice

Address
10033 Us Highway 70 E
Mc Ewen, TN 37101
Phone
(931) 582-8808
Organisation at this address
Cdk Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-09-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee