IndividualActive
Randal Rudderman, MD
NPI 1639263676 · Plastic and Reconstructive Surgery Physician · Alpharetta, GA
Provider details
- NPI number
- 1639263676
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 024863 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Practice location
3400-C Old Milton Pkwy,
Ste 450
Alpharetta, GA 30005-3707
Phone: (678) 566-7200
Fax: (678) 566-7210
Approximate (ZIP-level) locationGet directions
Mailing address
3400-C Old Milton Pkwy,
Alpharetta, GA 30005-3707
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2015-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.