Individual
RANDALL W KRIZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
1365 CLIFTON RD NE, SUITE BT209, ATLANTA, GA 30322-1013
(404) 778-4040
(404) 778-5059
Mailing address
220 26TH ST NW, APT 2203, ATLANTA, GA 30309-1914
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
005149
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222812602A
—
GA
Enumeration date
09/18/2007
Last updated
05/16/2012
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