Rodolfo Bartolome Carrillo in Gainesville - General Practice

Rodolfo Bartolome Carrillo - NPI 1376633586

Rodolfo Bartolome Carrillo is a General Practice in Gainesville, Georgia. Rodolfo Bartolome Carrillo practices all healthcare services and medical treatments related to General Practice. The NPI Number for Rodolfo Bartolome Carrillo is 1376633586. The last update date is 2007-07-08.

Rodolfo Bartolome Carrillo's current location address is 420 Broad St Se, Gainesville, Georgia. You can contact this provider via phone number 7705368885 and fax number 7705368725. The mailing address for Rodolfo Bartolome Carrillo is 420 Broad St Se, Gainesville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Rodolfo Bartolome Carrillo
Address 420 Broad St Se, Gainesville, Georgia
Phone Number 7705368885
Fax Number 7705368725
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1376633586
Provider Enumeration Date 2006-10-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 420 Broad St Se
City Gainesville
State Georgia (GA)
Post Code 30501
Phone Number 7705368885
Fax Number 7705368725

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 33243
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0TH000 GA --

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FAQs about Rodolfo Bartolome Carrillo

What is the unique 10-digit identifier code issued to Rodolfo Bartolome Carrillo by the Centers for Medicare & Medicaid Services?

The Rodolfo Bartolome Carrillo has been assigned the NPI (National Provider Identifier) 1376633586 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Rodolfo Bartolome Carrillo is physically located?

The Rodolfo Bartolome Carrillo is situated at the following address: 420 Broad St Se, Gainesville, GA 30501.

What is the area of specialization for Rodolfo Bartolome Carrillo, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Rodolfo Bartolome Carrillo is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 208D00000X.

When did the Rodolfo Bartolome Carrillo receive its 1376633586?

The Rodolfo Bartolome Carrillo was issued its 1376633586 on 2006-10-16, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Rodolfo Bartolome Carrillo most recently updated or revised?

The information pertaining to Rodolfo Bartolome Carrillo, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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