NPI 1114261526
Brett Randall, IDMT
Practice location
- Address
- 204 W Hill Blvd, Charleston Afb, SC 29404-4704
- Phone
- (843) 963-6880
Registered specialties
Independent Duty Medical Technicians
Primary
Registry record
- NPI
- 1114261526
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Nov 2012
- Record last updated
- 4 Jul 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.