IndividualActive
Councill Rudolph, MD
NPI 1194760660 · Surgery Physician · Manchester, TN
Provider details
- NPI number
- 1194760660
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD0000025899 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
822 Mcarthur St
Manchester, TN 37355-2324
Phone: (931) 723-7121
Fax: (931) 723-7133
Approximate (ZIP-level) locationGet directions
Mailing address
15 Veterans Dr
Decherd, TN 37324-3887
Registry dates
- Enumerated
- 2006-06-18
- Last updated
- 2016-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.