Individual
RANDAL SUGERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 RIVERSIDE DR, MACON, GA 31210-2513
(478) 474-5600
(478) 471-6769
Mailing address
5925 ZEBULON RD, MACON, GA 31210-1917
(478) 757-7865
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036465
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000557928E
—
GA
Enumeration date
08/30/2006
Last updated
02/04/2019
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