Provider Demographics
NPI:1093502767
Name:RANDOLPH, ALEXANDER B (DC)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:B
Last Name:RANDOLPH
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3731 RAINBOW DR STE A
Mailing Address - Street 2:
Mailing Address - City:RAINBOW CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35906-6367
Mailing Address - Country:US
Mailing Address - Phone:256-442-1441
Mailing Address - Fax:256-442-3938
Practice Address - Street 1:3731 RAINBOW DR STE A
Practice Address - Street 2:
Practice Address - City:RAINBOW CITY
Practice Address - State:AL
Practice Address - Zip Code:35906-6367
Practice Address - Country:US
Practice Address - Phone:256-442-1441
Practice Address - Fax:256-442-3938
Is Sole Proprietor?:No
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2908111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL2908OtherALABAMA STATE BOARD OF CHIROPRACTIC EXAMINERS