Councill C Rudolph, MD
NPI #1194760660 in Manchester, Tennessee
Provider Information
- NPI Number
- 1194760660
- Entity Type
- Individual
- Name
- Councill C Rudolph, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Surgery
- Credential
- MD
- Enumeration Date
- Jun 18, 2006
- Last Updated
- Apr 14, 2016
Practice Location
- Address
- 822 MCARTHUR ST
- City
- Manchester
- State
- Tennessee
- ZIP Code
- 37355-2324
- Phone
- (931) 723-7121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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