| Organization Name: | RANDOLPH PRIMARY CARE, PA |
| NPI Number: | 1528392289 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAAD AMIN (PRESIDENT & PROVIDER) |
| Mailing Address: | 350 N Cox St Ste 6 Asheboro |
| State: | NC US |
| Postal Code: | 272035514 |
| Phone Number: | 3366292201 |
| Fax Number: | 3366292205 |
| NPI Enumeration Date: | 09/29/2009 |
| NPI Last Update Date: | 03/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |