DR. M.D. Randolph Augustus Malone IV, NPI 1497726814
Allergy Physician in Tallahassee, FL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1497726814
NPI Entity Type Individual
Provider Name DR. M.D. Randolph Augustus Malone IV
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 2804 Remington Green Circle Ste1, Tallahassee, FL, US
Provider Mailing Address 2804 Remington Green Cir Ste 1, Tallahassee, FL, US, 323081550
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

207KA0200X

Taxonomy Name Allergy Physician
Classification

Allergy & Immunology

Group

Allopathic & Osteopathic Physicians

License No. 034412
License State GA
Description Definition to come...

Business Address

DR. M.D. Randolph Augustus Malone IV
2804 Remington Green Circle Ste1

Tallahassee, FL, US

Phone: 850-656-6269
Fax: 850-877-5270

Mailing Address

DR. M.D. Randolph Augustus Malone IV
2804 Remington Green Cir Ste 1
Tallahassee, FL, US
ZIP 323081550
Phone: 229-226-5616
Fax: 229-226-7132

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

174400000X

Other Service Providers

Specialist

No

174400000X

Other Service Providers

Specialist

060041 No

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