Individual provider · Type 1 NPI
Rodolfo Bartolome Carrillo Sr., MD
General Practice Physician · Gainesville, GA
NPI number
1376633586
Active
Practice location
420 Broad St SE
Gainesville, GA 30501-3726
Fax (770) 536-8725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 033243 (GA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1376633586
Rodolfo Bartolome Carrillo Sr., MD's National Provider Identifier is 1376633586, issued on Oct 16, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Gainesville, GA. The record was last updated on Sep 20, 2026.