Rudderman, Randal
Rudderman, Randal is an sole proprietor health care provider with primary practice located at 3400-C Old Milton Pkwy, Ste 450, Alpharetta GA 30005-3707. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Rudderman, Randal can be contacted via phone (678) 566-7200.Contact Information
Primary practice address
3400-C Old Milton Pkwy, Ste 450
Alpharetta GA 30005-3707
Phone: (678) 566-7200
Fax: (678) 566-7210
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 024863 | Georgia |
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 024863 | Georgia |
Profile Details
NPI number | 1639263676 |
---|---|
LBN Legal business name | Rudderman, Randal |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 3rd, 2006 |
Last updated | Jun 22nd, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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