Organization
MICHAEL D. RANDELL, M.D., P.C.
Active
Other names
OBGYN Atlanta
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DAVID RANDELL MD (PRESIDENT)
(404) 250-4443
Entity
Organization
Contact information
Practice address
5667 PEACHTREE DUNWOODY RD STE 280, ATLANTA, GA 30342-1714
(404) 250-4443
(404) 250-4423
Mailing address
5667 PEACHTREE DUNWOODY RD STE 280, ATLANTA, GA 30342-1714
(404) 250-4443
(404) 250-4423
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
040200
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000676629E
—
GA
Enumeration date
10/17/2006
Last updated
03/26/2019
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