Individual
MR. RANDALL CHARLES BERINHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
165 N PARK TRL, SUITE 100, STOCKBRIDGE, GA 30281-6500
(770) 506-1800
(770) 506-4686
Mailing address
165 N PARK TRL, SUITE 100, STOCKBRIDGE, GA 30281-6500
(770) 506-1800
(770) 506-4686
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
034777
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000478277K
—
GA
Enumeration date
05/19/2006
Last updated
01/24/2013
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