Provider Demographics
NPI:1932249711
Name:RESPIRATORY CONSULTANTS OF GEORGIA LLC
Entity Type:Organization
Organization Name:RESPIRATORY CONSULTANTS OF GEORGIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-721-0705
Mailing Address - Street 1:21 POINTE NORTH DR
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-7952
Mailing Address - Country:US
Mailing Address - Phone:678-721-0705
Mailing Address - Fax:678-721-5116
Practice Address - Street 1:21 POINTE NORTH DR
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-7952
Practice Address - Country:US
Practice Address - Phone:678-721-0705
Practice Address - Fax:678-721-5116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GADE4167OtherRAILROAD MEDICARE GROUP
GAGRP7535Medicare ID - Type Unspecified