Individual
RODGER HENRY EIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1105 BURLEYSON ROAD, DALTON, GA 30720
(706) 278-4640
(706) 275-6599
Mailing address
1105 BURLEYSON ROAD, DALTON, GA 30720
(706) 278-4640
(706) 275-6599
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
012695
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119743A
—
GA
Enumeration date
04/20/2007
Last updated
07/09/2007
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