Individual
DR. MICHAEL DAVID RANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5667 PEACHTREE DUNWOODY RD STE 280, ATLANTA, GA 30342-1714
(404) 250-4443
(404) 250-4423
Mailing address
5667 PEACHTREE DUNWOODY RD STE 280, ATLANTA, GA 30342-1714
(404) 250-4443
(404) 250-4423
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
40200
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000676629E
—
GA
01
—
040200
STATE LIECENCE
GA
Enumeration date
07/13/2006
Last updated
03/26/2019
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