Raymond Rudolph in Savannah - Surgery

Raymond Rudolph - NPI 1295836617

Raymond Rudolph is a Surgery in Savannah, Georgia. Raymond Rudolph practices all healthcare services and medical treatments related to Surgery. The NPI Number for Raymond Rudolph is 1295836617. The last update date is 2013-04-26.

Raymond Rudolph's current location address is 4700 Waters Ave, Savannah, Georgia. You can contact this provider via phone number 9123502700 and fax number 9123502715. The mailing address for Raymond Rudolph is 4700 Waters Ave, Savannah, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Raymond Rudolph
Address 4700 Waters Ave, Savannah, Georgia
Phone Number 9123502700
Fax Number 9123502715
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1295836617
Provider Enumeration Date 2006-09-26
Last Updated Date 2013-04-26

Provider Mailing Address Detail

Address 4700 Waters Ave
City Savannah
State Georgia (GA)
Post Code 314046220
Phone Number 9123502700
Fax Number 9123502715

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 30205
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000453043L GA --
10065386 GA AMERIGROUP
000453043E GA --
P00955061 SC RAILROAD MEDICARE
000453043I GA --
000453043M GA --
20047969 GA RAILROAD MEDICARE
20050906 SC RAILROAD MEDICARE
349825 GA WELLCARE
000453043B GA --

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FAQs about Raymond Rudolph

What is the unique 10-digit identifier code assigned to Raymond Rudolph by the Centers for Medicare & Medicaid Services?

The Raymond Rudolph has been issued the NPI (National Provider Identifier) 1295836617 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Raymond Rudolph's facilities are geographically located?

The facilities of Raymond Rudolph are physically situated at the following location: 4700 Waters Ave, Savannah, GA, 314046220.

What is the area of specialization for Raymond Rudolph, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Raymond Rudolph is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1295836617 to Raymond Rudolph?

The Centers for Medicare & Medicaid Services originally issued the 1295836617 to Raymond Rudolph on 2006-09-26.

As of what date was the information pertaining to Raymond Rudolph, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Raymond Rudolph, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-04-26.

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