Dr. Jacquetta Taisha Randall
M.D. | Pediatrics | Female
Dr. Jacquetta Taisha Randall, M.D. is a Henderson, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Jacquetta Taisha Randall is
451 Ruin Creek Rd, Suite 101, Henderson, North Carolina - 27536-2878. She can be contacted on phone at
252-492-9565.
Dr. Jacquetta Taisha Randall is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Jacquetta Taisha Randall is
1588982466 which was assigned by NPPES on 17 May, 2010 and it was last updated on 29 Oct, 2012.
Dr. Jacquetta Taisha Randall license number is
2012-01956 for Pediatrics (208000000X) in North Carolina.
Dr. Jacquetta Taisha Randall is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Jacquetta Taisha Randall basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Jacquetta Taisha Randall |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Jacquetta Taisha Randall address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 451 Ruin Creek Rd, Suite 101
Henderson, NC, 27536-2878
United States |
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| Phone Number : | 252-492-9565 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1588982466 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 May, 2010 |
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| Last Updated On : | 29 Oct, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jacquetta Taisha Randall are as mentioned. Primary taxonomy code for Dr. Jacquetta Taisha Randall, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | A111970 | CA |
| 208000000X | Pediatrics | Yes | 2012-01956 | NC |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 451 Ruin Creek Rd, Suite 101
Henderson, NC, 27536-2878
United States |
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| Phone Number : | 252-492-9565 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Jacquetta Taisha Randall practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.