Individual
DR. CAROLYN S RUDE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
205 HAWKINS STORE ROAD, SUITE A-1, KENNESAW, GA 30144
(770) 926-3400
Mailing address
3065 RIVER NORTH PKWY NW, ATLANTA, GA 30328-1117
(770) 396-7960
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8381
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000236926A1
—
GA
Enumeration date
02/02/2006
Last updated
07/08/2007
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