Individual
DR. RANDAL CAFFAREL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
717 ARCADIA AVE, DECATUR, GA 30030-3904
(251) 454-3823
Mailing address
717 ARCADIA AVE, DECATUR, GA 30030-3904
(404) 624-6111
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
00019720
AL
2084P0800X
Psychiatry Physician
MD.012578
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000033728
HCFA PIN/PROVIDER
LA
Enumeration date
06/11/2006
Last updated
10/07/2011
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