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Frank C. Randall, M.D., P.A.

Details

Name: Frank C. Randall, M.D., P.A.
Jurisdiction: Alabama
Legal type: Domestic Professional Association
Status: Dissolved
Date of registration: 08 Feb 1978 (47 years ago) (Companies founded in February 1978)
Date of dissolution: 28 Dec 2006
Entity Number: 000-045-480
Register Number: 000045480
Place of Formation: Montgomery County
Principal Address: 1722 PINE STREET STE 1005MONTGOMERY, AL 36106-1123

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356385694 2006-06-16 2020-08-22 PO BOX 231057, MONTGOMERY, AL, 361231057, US 1722 PINE ST, SUITE 1005, MONTGOMERY, AL, 361061103, US

Contacts

Phone +1 334-277-1579

Authorized person

Name FRANK C RANDALL JR.
Role PRESIDENT
Phone 3342771579

Taxonomy

Taxonomy Code 208800000X - Urology Physician
License Number 3819
State AL
Is Primary Yes

Member

Name Role
RANDALL, FRANK C Member

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State