Dr. Charles Rudolph, M.D.
Internal Medicine in Cleveland, TN. Individual provider (NPI-1).
NPI number1346351673
StatusActive
Last updated in NPPESApr 22, 2024
Details
- NPI
- 1346351673
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Rudolph
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Certification date
- Apr 22, 2024
- Last updated
- Apr 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD32155 | TN | Yes |
Practice location
170 Mouse Creek Rd NwCleveland, TN 37312-3840
Phone 423-458-1426 · Fax 423-790-1276
Mailing address
1025 Peerless Xing NwCleveland, TN 37312-3764
Phone 423-476-5990 · Fax 423-476-5887
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