MD Gerald Randle, NPI 1497769665
Neurology Physician in Jackson, MS, US
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 | 1497769665 |
| NPI Entity Type | Individual |
| Provider Name | MD Gerald Randle |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1200 N State St, Suite 420, Jackson, MS, US |
| Provider Mailing Address | 1151 N State St, Suite 504, Jackson, MS, US, 392022407 |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Neurology Physician |
| Classification | |
| Group | |
| License No. | 06233 |
| License State | MS |
| Description | A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| P00466199 | RR MEDICARE | 01 | |
| 300002201 | MS | US DEPT OF LABOR | 01 |
| 753068151 | MS | MPCN | 01 |
| 00124228 | MS | MEDICAID | 05 |
| 753068151 | MS | MHP | 01 |
| 753068151014 | TRICARE | 01 |
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