Healthcare Provider Details

I. General information

NPI: 1740705045
Provider Name (Legal Business Name): RANDY JAMES CULIG DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2017
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1409 N HIGHLAND AVE NE STE A
ATLANTA GA
30306-3300
US

IV. Provider business mailing address

5966 HERITAGE LN
STONE MOUNTAIN GA
30087-1858
US

V. Phone/Fax

Practice location:
  • Phone: 407-920-0228
  • Fax:
Mailing address:
  • Phone: 407-920-0228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR009910
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: