NPI 1699766758

Derrick Wade Randall, MD

Practitioner Pain Medicine Physician Charleston, SC

Practice location

Address: 2145 Henry Tecklenburg Dr STE 220, Charleston, SC 29414-5894
Phone: (843) 723-8823
Fax: (843) 606-8059
Mailing address: PO Box 751649, Charlotte, NC 28275-1649

Registered specialties (4)

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 19659 (SC)

Other Pain Medicine providers in South Carolina →

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 19659 (SC)

Other Anesthesiology providers in South Carolina →

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 050251 (GA)

Pain Medicine (Anesthesiology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence 19659 (SC)

Registry record

NPI: 1699766758
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Oct 2005
Record last updated: 15 Jan 2025

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.