Most Relevant Information
Provider Data
| NPI Number: | 1003279514 |
| Provider Name: | RANDALL STEPHAN CONRAD MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 2019-00177 |
Most Important Dates
| Enumeration Date: | 04/01/2016 |
| Last Updated: | 08/29/2024 |
Provider Practice Location
MEDICAL CENTER BLVD
WINSTON SALEM
NC
271570001
Practice Location Phone/Fax
| Phone: | 3367164305 |
| Fax: |
Provider Mailing Location
MEDICAL CENTER BLVD
WINSTON SALEM
NC
271570001
Provider Mailing Phone/Fax
| Phone: | 3367164305 |
| Fax: |
Suggested EMR
Internist EMR