IndividualActive
M. Randall, M.D.
NPI 1124002175 · Dermatopathology (Pathology) Physician · Memphis, TN
Provider details
- NPI number
- 1124002175
- Entity type
- Individual
- Primary specialty
- Dermatopathology (Pathology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 29321 (TN)
Practice location
930 Madison Ave
Suite 890
Memphis, TN 38103-3410
Phone: (901) 866-8834
Fax: (901) 302-2834
Mailing address
1068 Cresthaven Rd Ste 300
Memphis, TN 38119-0809
Registry dates
- Enumerated
- 2005-12-02
- Last updated
- 2025-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.