Randolph, Dallin T

Randolph, Dallin T is an individual health care provider with primary practice located at 1405 Clifton Rd Ne Division Of Emergency Medicine, Atlanta GA 30322. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Randolph, Dallin T can be contacted via phone (404) 785-7142.

Contact Information

Primary practice address
1405 Clifton Rd Ne Division Of Emergency Medicine Atlanta GA 30322
Phone: (404) 785-7142
Fax: (404) 785-7989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 032279 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 032279 Georgia

Profile Details

NPI number 1750459459
LBN Legal business name Randolph, Dallin T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Jul 8th, 2007 - about 18 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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