Radman, Douglas M

Radman, Douglas M is an individual health care provider with primary practice located at 11459 Johns Creek Pkwy Suite 250, Johns Creek GA 30097-3515. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Radman, Douglas M can be contacted via phone (770) 497-1555.

Contact Information

Primary practice address
11459 Johns Creek Pkwy Suite 250 Johns Creek GA 30097-3515
Fax: (770) 497-9998
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 044820 Georgia

Profile Details

NPI number 1609880285
LBN Legal business name Radman, Douglas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Mar 29th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609880285 NPPES
Georgia MEDICAID 00792283A

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