Dr. Rudolf W Cisco
Foot & Ankle Surgery
1224 Sherwood Park Dr Ne
Gainesville
, Georgia 30501-3445
Dr. Rudolf W Cisco
Foot & Ankle Surgery
1224 Sherwood Park Dr Ne
Gainesville
, Georgia 30501-3445
(770) 287-0159
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Rudolf W Cisco
- 1224 Sherwood Park Dr Ne
- Gainesville, GA
- Zip : 30501-3445
- Fax : (770) 287-0159
- Phone : (770) 287-0606
Second Address
- Dr. Rudolf W Cisco
- 1224 Sherwood Park Dr Ne
- Gainesville, GA
- Zip : 30501-3445
- Fax : (770) 287-0159
- Phone : (770) 287-0606
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FAQs
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Is Dr. Rudolf W Cisco a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | 000596 | GA |
National Provider Identifier
| NPI | 1043236706 |
|---|---|
| Provider Name | Dr. Rudolf W Cisco |
| First Address | Gainesville, GA 30501-3445 |
| Second Address | Gainesville, GA 30501-3445 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/07/2006 |
| Last Update Date | 05/01/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00409274A | (05) | GA |
| U20478 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.