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Contact Information

RANDAL RUDDERMAN, MD
3400-C OLD MILTON PKWY,
STE 450
ALPHARETTA, GA30005-3707
 Phone: 678-566-7200
 Fax: 678-566-7210
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for RANDAL RUDDERMAN · (Male)

NPI Number 1639263676
Status Active
Credentials MD
Entity Individual
Enumeration date 10/03/2006
Last updated 06/22/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 024863
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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