Provider Demographics
NPI:1881276228
Name:GULLEDGE, CALEB MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:CALEB
Middle Name:MICHAEL
Last Name:GULLEDGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EMORY RADIOLOGY RESIDENCY PROGRAM
Mailing Address - Street 2:1364 CLIFTON RD NE, RM BG03
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-0001
Mailing Address - Country:US
Mailing Address - Phone:404-712-4686
Mailing Address - Fax:404-712-7908
Practice Address - Street 1:EMORY RADIOLOGY RESIDENCY PROGRAM
Practice Address - Street 2:1364 CLIFTON RD NE, RM BG03
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-0001
Practice Address - Country:US
Practice Address - Phone:404-712-4686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-26
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program