Individual provider · Type 1 NPI
Randal Rudderman, MD
Plastic and Reconstructive Surgery Physician · Alpharetta, GA
NPI number
1639263676
Active
Practice location
3400-C Old Milton Pkwy,, Ste 450
Alpharetta, GA 30005-3707
Fax (678) 566-7210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | 024863 (GA) |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 024863 (GA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
Other plastic and reconstructive surgery physician providers in Alpharetta
About NPI 1639263676
Randal Rudderman, MD's National Provider Identifier is 1639263676, issued on Oct 3, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Alpharetta, GA. The record was last updated on Aug 27, 2026.