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NPI Code Detail

MEDICARE: MELODY RUDI

MEDICARE: MELODY RUDI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician10618GA
2367H00000XAnesthesiologist Assistant10618GA

General Provider Information

NPI Number : 1104588839
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELODY RUDI
Provider Business Mailing Address
First Line : 476 WILMER ST NE UNIT 1113
Second Line :
City : ATLANTA
State : GA
Zip : 30308-2934
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1300 RIDENOUR BLVD NW STE 300
Second Line :
City : KENNESAW
State : GA
Zip : 30152-4402
Country : US
Telephone Number : 985-722-7993
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2021
Last Update Date : 06/16/2026

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Directions to “ MELODY RUDI ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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