Provider Demographics
NPI:1104166099
Name:RAMSEY, RANDLE WILLIAM JR (DO)
Entity type:Individual
Prefix:DR
First Name:RANDLE
Middle Name:WILLIAM
Last Name:RAMSEY
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:3714 GUARDIAN AVE STE E
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-2975
Mailing Address - Country:US
Mailing Address - Phone:252-247-2101
Mailing Address - Fax:252-247-4675
Practice Address - Street 1:2145 COUNTRY CLUB RD STE 800
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-2404
Practice Address - Country:US
Practice Address - Phone:910-939-5759
Practice Address - Fax:910-939-4951
Is Sole Proprietor?:No
Enumeration Date:2013-02-28
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2018-01231207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2018-01231OtherNC MEDICAL BOARD LICENSE
VA0102205212OtherVA LICENSE