Carrillo, Rodolfo Bartolome
Carrillo, Rodolfo Bartolome is an individual health care provider with primary practice located at 420 Broad St Se , Gainesville GA 30501-3726. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Carrillo, Rodolfo Bartolome can be contacted via phone (770) 536-8885.Contact Information
Primary practice address
420 Broad St Se
Gainesville GA 30501-3726
Phone: (770) 536-8885
Fax: (770) 536-8725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 033243 | Georgia |
Profile Details
| NPI number | 1376633586 |
|---|---|
| LBN Legal business name | Carrillo, Rodolfo Bartolome |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376633586 | NPPES |
| Georgia | MEDICAID | 0TH000 |
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