Organization
AOA AMC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICH RANDOLPH MD (MD)
(404) 522-6559
Entity
Organization
Contact information
Practice address
320 PARKWAY DR NE, ATLANTA, GA 30312-1213
(404) 522-6569
Mailing address
3330 PRESTON RIDGE RD, SUITE 100, ALPHARETTA, GA 30005-4508
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
GA
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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