Individual
RAYMOND RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 WATERS AVE, SUITE 405, SAVANNAH, GA 31404-6220
(912) 350-2700
(912) 350-2715
Mailing address
4700 WATERS AVE, SUITE 405, SAVANNAH, GA 31404-6220
(912) 350-2700
(912) 350-2715
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
21641
SC
208600000X
Surgery Physician
Primary
30205
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000453043B
—
GA
05
—
000453043D
—
GA
05
—
000453043E
—
GA
05
—
000453043G
—
GA
05
—
000453043I
—
GA
05
—
000453043J
—
GA
05
—
000453043L
—
GA
05
—
000453043M
—
GA
01
—
020047969
RAILROAD MEDICARE
GA
01
—
020050906
RAILROAD MEDICARE
SC
01
—
10065386
AMERIGROUP
GA
01
—
349825
WELLCARE
GA
05
—
G30205
—
SC
01
—
P00955061
RAILROAD MEDICARE
SC
01
—
P00955071
RAILROAD MEDICARE
GA
Enumeration date
09/26/2006
Last updated
04/26/2013
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