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Councill Rudolph, MD
NPI 1194760660 · on the registry since 2006
Practice
- Address
- 822 Mcarthur St
Manchester, TN 37355 - Phone
- (931) 723-7121
- Fax
- (931) 723-7133
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-04-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee