Organization
RANDAL H. RUDDERMAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL RUDDERMAN MD (PRESIDENT)
(678) 566-7200
Entity
Organization
Contact information
Practice address
3400-C OLD MILTON PKWY, STE 450, ALPHARETTA, GA 30005-3707
(678) 566-7200
(678) 566-7210
Mailing address
3400-C OLD MILTON PKWY, STE 450, ALPHARETTA, GA 30005-3707
(678) 566-7200
(678) 566-7210
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
024863
GA
Other
Enumeration date
03/18/2011
Last updated
06/22/2015
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