Doctor Name: | JOHN H RAND |
NPI Number: | 1063467447 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD7394 |
Business Practice Address: | 80 Herren Hill Road Ste D Tallassee, AL - 36078 |
Business Phone Number: | 3342833709 |
Business Fax Number: | 3342833708 |
Mailing Address: | 80 Herren Hill Road, Ste D TALLASSEE |
State: | AL |
Postal Code: | 36078 |
Phone Number: | 3342833709 |
Fax Number: | 3342833708 |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 10/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | MD7394 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |