Individual
DR. HARRY PETER RUDOLPH IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2270 ASHLEY CROSSING DR STE 110, CHARLESTON, SC 29414-5749
(843) 853-3474
(843) 853-3500
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
31409
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N00335
—
SC
01
—
P00834842
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
09/27/2005
Last updated
01/16/2025
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