COUNCILL C RUDOLPH

MANCHESTER, TN
NPI1194760660
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: TN  MD0000025899)
Enumeration Date2006-06-18
Last Update Date2016-04-14
Business Address
-- COUNCILL C RUDOLPH MD
822 MCARTHUR ST
MANCHESTER, TN 37355-2324
Phone number: 931-723-7121
Mailing Address
-- COUNCILL C RUDOLPH MD
15 VETERANS DR
DECHERD, TN 37324-3887
Phone number: 931-962-2273