National Provider Identifier Database

RODOLFO B CARRILLO SR, MD – NPI #1376633586
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

RODOLFO B CARRILLO SR, MD
420 BROAD ST SE
GAINESVILLE, GA30501-3726
Phone: 770-536-8885
Fax: 770-536-8725
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for RODOLFO B CARRILLO SR

NPI Number 1376633586
Credentials MD
Entity Individual
Enumeration date 10/16/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • GA License #: 033243
  • GA Medicaid: 0TH000
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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