RANDALL L. PROCTOR M.D. – NPI #1366880304
Dermatology
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
RANDALL PROCTOR is a dermatologist located in GREENVILLE, NC. NPPES has assigned the NPI number 1366880304 to RANDALL PROCTOR on June 12, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery
The NPI profile was previously updated about 8 years ago on Aug 01, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RANDALL PROCTOR below.
NPI Profile for
RANDALL L. PROCTOR
(about 13 years ago)
GREENVILLE, NC 27834 Phone: (252) 752-4124 Fax: (252) 752-2044
2 Other location(s):
Vestavia Hls, AL 35242-2541
Phone: (205) 977-9876
Fax: (205) 977-9976
Greenville, NC 27834-2818
Phone: (252) 744-3229
Fax: (252) 744-3924
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207ND0101X - Dermatology / MOHS-Micrographic Surgery (Primary) |
NC | 2016-02476 |
| 390200000X - Student in an Organized Health Care Education/Training Program |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
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