Individual
RODNEY N KREIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 EAGLES LANDING PKWY, SUITE 208, STOCKBRIDGE, GA 30281-7279
(770) 507-4144
(770) 507-1001
Mailing address
1215 EAGLES LANDING PKWY, SUITE 208, STOCKBRIDGE, GA 30281-7279
(770) 507-4144
(770) 507-1001
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
022162
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000407019B
—
GA
Enumeration date
03/22/2006
Last updated
10/29/2008
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