Individual
RODOLFO CELIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
406 RIDLEY AVE, LAGRANGE, GA 30240-2232
(706) 884-2371
Mailing address
PO BOX 1348, LAGRANGE, GA 30241-0027
(706) 884-2371
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
012684GA
GA
Other
Enumeration date
02/16/2006
Last updated
07/08/2007
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