Individual
RANDOLPH P MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 COLLIER ROAD, NW, SUITE 300, ATLANTA, GA 30309-1740
(404) 605-2800
(404) 351-5983
Mailing address
275 COLLIER ROAD, NW, SUITE 300, ATLANTA, GA 30309-1740
(404) 605-2800
(404) 351-5983
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
013228
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000408163C
—
GA
Enumeration date
08/02/2006
Last updated
01/06/2011
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