Individual
DALLIN T RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1405 CLIFTON RD NE, DIVISION OF EMERGENCY MEDICINE, ATLANTA, GA 30322
(404) 785-7142
(404) 785-7989
Mailing address
224 BARRY STREET, DECATUR, GA 30030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
032279
GA
208000000X
Pediatrics Physician
Primary
032279
GA
Other
Enumeration date
12/01/2006
Last updated
09/11/2025
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