Individual
DR. KEVIN J RODBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1799 BRIARCLIFF ROAD NE, SUITE X, ATLANTA, GA 30306
(404) 745-4578
(404) 745-4579
Mailing address
1799 BRIARCLIFF ROAD NE, SUITE X, ATLANTA, GA 30306
(404) 745-4578
(404) 745-4579
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
057998
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
566873882H
—
GA
Enumeration date
10/04/2006
Last updated
12/02/2009
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