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Rodolfo Bartolome Carrillo SR., MD
General Practice Physician in Gainesville, Georgia
NPI 1376633586

Rodolfo Bartolome Carrillo SR. is a General Practice Physician based in Gainesville, GA. Rodolfo Bartolome Carrillo SR. practices in Gainesville, GA and has the professional credentials of MD. The NPI Number for Rodolfo Bartolome Carrillo SR. is 1376633586 and holds a License No. 033243 (Georgia).

The current practice location address for Rodolfo Bartolome Carrillo SR. is 420 Broad St Se, Gainesville, GA and can be reached out via phone at 770-536-8885 and via fax at 770-536-8725.

Location: 420 Broad St Se, Gainesville, GA, 30501
person
Provider Profile Details
NPI Number
1376633586
Provider Name
Rodolfo Bartolome Carrillo SR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
420 Broad St Se, Gainesville, GA, 30501
Phone Number
770-536-8885
Fax Number
770-536-8725
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0TH000 05 GA
institution
Provider Business Practice Location Address Details
Address
420 Broad St Se
City
State
Zip
30501-3726
Phone Number
770-536-8885
Fax Number
770-536-8725
person
Provider Business Mailing Address Details
Address
420 Broad St Se
City
State
Zip
30501-3726
Phone Number
770-536-8885
Fax Number
770-536-8725
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
033243 (Georgia)
Definition
Definition to come...
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