Individual
PETER MICHAEL RANDLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4890 ROSWELL RD NE, ATLANTA, GA 30342-2606
(770) 712-1911
Mailing address
4890 ROSWELL RD NE, P O BOX 421967, ATLANTA, GA 30342-2606
(770) 712-1911
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
040766
GA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
040766
GA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
040766
GA
Other
Enumeration date
12/19/2005
Last updated
09/11/2025
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