Provider Demographics
NPI:1083923759
Name:WILLIAM H RHODES JR MD FAAFP
Entity Type:Organization
Organization Name:WILLIAM H RHODES JR MD FAAFP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:FINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-286-4196
Mailing Address - Street 1:100 SCOTT ST
Mailing Address - Street 2:
Mailing Address - City:UNION POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30669-1128
Mailing Address - Country:US
Mailing Address - Phone:706-486-4196
Mailing Address - Fax:706-486-4839
Practice Address - Street 1:100 SCOTT ST
Practice Address - Street 2:
Practice Address - City:UNION POINT
Practice Address - State:GA
Practice Address - Zip Code:30669-1128
Practice Address - Country:US
Practice Address - Phone:706-486-4196
Practice Address - Fax:706-486-4839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-29
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA9599207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
10036871OtherAMERIGROUP
52016890001OtherBCBS
319461OtherWELLCARE
GA000072696BMedicaid
GA000072696BMedicaid