Healthcare Provider Details

I. General information

NPI: 1083923759
Provider Name (Legal Business Name): WILLIAM H RHODES JR MD FAAFP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2010
Last Update Date: 09/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SCOTT ST
UNION POINT GA
30669-1128
US

IV. Provider business mailing address

100 SCOTT ST
UNION POINT GA
30669-1128
US

V. Phone/Fax

Practice location:
  • Phone: 706-486-4196
  • Fax: 706-486-4839
Mailing address:
  • Phone: 706-486-4196
  • Fax: 706-486-4839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number9599
License Number StateGA

VIII. Authorized Official

Name: MRS. MELANIE M FINNEY
Title or Position: MEDICAL ASSISTANT
Credential:
Phone: 706-286-4196