Rude, Carolyn S
Rude, Carolyn S is an individual health care provider with primary practice located at 205 Hawkins Store Road Suite A-1, Kennesaw GA 30144. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Rude, Carolyn S can be contacted via phone (770) 926-3400.Contact Information
Primary practice address
205 Hawkins Store Road Suite A-1
Kennesaw GA 30144
Phone: (770) 926-3400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 8381 | Georgia |
Profile Details
| NPI number | 1689646945 |
|---|---|
| LBN Legal business name | Rude, Carolyn S |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689646945 | NPPES |
| Georgia | MEDICAID | 000236926A1 |
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