Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDAL RUDDERMAN, MD
Active Sole ProprietorRANDAL RUDDERMAN, MD is a Plastic and Reconstructive Surgery healthcare provider located in ALPHARETTA, Georgia. NPI 1639263676 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · ALPHARETTA, GA
Registration Details
- NPI Number
- 1639263676
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2006 (19.878197459728 yrs)
- Last Updated
- Jun 22, 2015
- Licenses
-
024863 (GA)024863 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3400-C OLD MILTON PKWY,STE 450ALPHARETTA, GA, 300053707Browse GA providers · Browse ZIP 30005
- Phone
- 6785667200
- Fax
- 6785667210
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
- Additional Specialty
- Plastic and Reconstructive Surgery
Other Plastic and Reconstructive Surgery Providers in ALPHARETTA, GA
| Name | Credential | NPI |
|---|---|---|
| ASAF YALIF | M.D. | 1467676718 |
| KENDALL DOUGLAS BROOKS | MD | 1043605249 |
| LESLIE SUSAN HARPER | FNP-C | 1346910569 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.