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Individual

RANDALL I NEWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-5265
(404) 501-5266
Mailing address
2171 W PARK CT, SUITE A, STONE MOUNTAIN, GA 30087-3555
(678) 514-1991
(678) 514-1993

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
033656
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000542946B
GA
Enumeration date
06/03/2006
Last updated
07/18/2008
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