Rodolfo Bartolome Carrillo Sr., MD

General Practice Physician · Gainesville, GA

Individual Active NPI

NPI number 1376633586

Practice location

420 Broad St SE
Gainesville, GA 30501-3726
Phone
(770) 536-8885
Fax
(770) 536-8725

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NPI record

NPI
1376633586
Entity type
Individual (Type 1)
Enumeration date
October 16, 2006
Last updated
September 20, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 033243 GA

Mailing address

420 Broad St SE
Gainesville, GA 30501
Phone
(770) 536-8885
Fax
(770) 536-8725

About Dr. Carrillo

Rodolfo Bartolome Carrillo Sr., MD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 420 Broad St SE, Gainesville, GA 30501-3726. The NPI number 1376633586 was assigned on October 16, 2006 and the record was last updated on September 20, 2026.

Dr. Carrillo lists a license in the registry: #033243 (GA) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Rodolfo Bartolome Carrillo Sr., MD?

The NPI number is 1376633586.

What is the phone number of Dr. Carrillo?

The phone number listed for the practice location is (770) 536-8885.

Where is Dr. Carrillo located?

420 Broad St SE, Gainesville, GA 30501-3726.

What is the taxonomy code for Dr. Carrillo?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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