David Samuel Rudolph, DO | |
354 Newnan Crossing Byp, Suite 205, Newnan, GA 30265-2323 | |
(678) 326-4812 | |
Not Available |
Full Name | David Samuel Rudolph |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 18 Years |
Location | 354 Newnan Crossing Byp, Newnan, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881836013 | NPI | - | NPPES |
OS14560 | Other | PA MEDICAL LICENSE # | |
1922077643 | Other | PA | MLHC GROUP NPI # |
440771 | Other | PA | MLHC MEDICARE AA# |
824305 | Other | PA | BS AA# |
037276 | Other | PA | MLHC GROUP AA # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | OS014560 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
Piedmont Newnan Hospital, Inc | Newnan, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Digestive Healthcare Of Georgia | 7012904394 | 29 |
Entity Name | Digestive Healthcare Of Georgia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558365247 PECOS PAC ID: 7012904394 Enrollment ID: O20040429000495 |
Mailing Address | Practice Location Address |
---|---|
David Samuel Rudolph, DO 95 Collier Rd Nw, Suite 4075, Atlanta, GA 30309-1796 Ph: (404) 355-3200 | David Samuel Rudolph, DO 354 Newnan Crossing Byp, Suite 205, Newnan, GA 30265-2323 Ph: (678) 326-4812 |
Mrs. Linda C Cunanan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 109 Bullsboro Dr, Newnan, GA 30263 Phone: 770-251-4140 Fax: 770-251-7275 | |
Dr. Ashish Dhungel, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1425 Highway 34 E, Newnan, GA 30265 Phone: 770-304-3724 | |
Nitika Sharma, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 770-400-6000 | |
James M. Smith, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 Newnan Crossing Blvd E, Suite 200, Newnan, GA 30265 Phone: 770-400-7700 | |
Ayesha Afsar Faruqi, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 Newnan Crossing Blvd E, Suite 200, Newnan, GA 30265 Phone: 770-400-7700 | |
Dr. Samer Bedi Blackmon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1825 Highway 34 E, St. 3000, Newnan, GA 30265 Phone: 770-252-6767 Fax: 404-564-5902 | |
Gargi Schneider, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 745 Poplar Rd, Newnan, GA 30265 Phone: 404-367-3014 |