Individual provider · Type 1 NPI

Councill C. Rudolph, MD

Surgery Physician · Manchester, TN

NPI number 1194760660 Active

Practice location

822 Mcarthur St
Manchester, TN 37355-2324

Fax (931) 723-7133

Mailing address

15 Veterans Dr
Decherd, TN 37324-3887

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XMD0000025899 (TN)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1194760660

Councill C. Rudolph, MD's National Provider Identifier is 1194760660, issued on Jun 18, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Manchester, TN. The record was last updated on Apr 14, 2016.