Individual provider · Type 1 NPI

Melody C. Bolton Rudi

Anesthesiologist Assistant · Kennesaw, GA

NPI number 1104588839 Active

Practice location

1300 Ridenour Blvd NW Ste 300
Kennesaw, GA 30152-4402

Call (985) 722-7993 Map

Mailing address

476 Wilmer St NE Unit 1113
Atlanta, GA 30308-2934

Specialties and licenses

TaxonomyCodeLicense
Anesthesiologist Assistant Primary 367H00000X10618 (GA)
Anesthesiology Physician 207L00000X10618 (GA)

Anesthesiologist Assistant: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist …

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About NPI 1104588839

Melody C. Bolton Rudi's National Provider Identifier is 1104588839, issued on Oct 11, 2021. The primary taxonomy on file is Anesthesiologist Assistant (367H00000X), and the practice location is in Kennesaw, GA. The record was last updated on Sep 24, 2026.