Basic Information
| Provider Information | |||||||||
| NPI: | 1497966600 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FRANCO-PALACIOS | ||||||||
| FirstName: | CARLOS | ||||||||
| MiddleName: | RODRIGO | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 55 WHITCHER ST NE STE 160 | ||||||||
| Address2: | |||||||||
| City: | MARIETTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300601160 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7704221372 | ||||||||
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| Practice Location | |||||||||
| Address1: | 55 WHITCHER ST NE STE 160 | ||||||||
| Address2: | |||||||||
| City: | MARIETTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 30060 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7704221372 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/28/2007 | ||||||||
| LastUpdateDate: | 01/24/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/24/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 83157 | GA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | ME133905 | FL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 4301086088 | MI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RN0300X | 52218 | MN | N | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology | 207RC0200X | 83157 | GA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine |
ID Information
| ID | Type | State | Issuer | Description | ENROLLED | 05 | IA | MEDICAID | ENROLLED | 05 | MN | MEDICAID | ENROLLED | 05 | WI | MEDICAID | P00977686 | 01 | MN | RAIL ROAD - MEDICARE | OTHER |