| Randolph Actt | |
|
1001 Sunset Ave Asheboro NC 27203-5259 | |
| (336) 625-0900 | |
| Not Available |
| Full Name | Randolph Actt |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1001 Sunset Ave, Asheboro, North Carolina |
| Authorized Official Name and Position | Kevin Cochran (FINANCIAL ASSISTANT) |
| Authorized Official Contact | 9199810740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph Actt 1331 Sunday Dr Raleigh NC 27607 Ph: (919) 981-0740 | Randolph Actt 1001 Sunset Ave Asheboro NC 27203-5259 Ph: (336) 625-0900 |
| NPI Number | 1760524839 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760524839 | NPI | - | NPPES |
| 8300433A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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