Individual provider · Type 1 NPI

Randal Paige Antle, PA-C

Medical Physician Assistant · Decatur, GA

NPI number 1124262423 Active

Practice location

1951 Clairmont Rd
Decatur, GA 30033-3415

Call (404) 321-4600 Map

Fax (404) 320-0987

Mailing address

2665 N Decatur Rd, Suite 650
Decatur, GA 30033-6149

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1875 (GA)

Medical Physician Assistant: Definition to come...

10 other providers at this address

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About NPI 1124262423

Randal Paige Antle, PA-C's National Provider Identifier is 1124262423, issued on Apr 30, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Decatur, GA. The record was last updated on Apr 14, 2014.