Individual
ERICH GRAHAM RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2406 BELLEVUE RD STE 7, DUBLIN, GA 31021-2842
(478) 272-2255
(478) 278-9134
Mailing address
PO BOX 96465, CHARLOTTE, NC 28296-0465
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
021790
GA
2085R0001X
Radiation Oncology Physician
Primary
021790
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000305951L
—
GA
05
—
000305951M
—
GA
05
—
000305951N
—
GA
05
—
000305951O
—
GA
05
—
000305951P
—
GA
05
—
000305951Q
—
GA
05
—
000305951R
—
GA
05
—
000305951S
—
GA
05
—
000305951T
—
GA
01
—
92BBGBZ
MEDICARE PROVIDER ID
GA
Enumeration date
06/03/2006
Last updated
02/25/2026
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