Individual
HECTOR RODRIGUEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
103 MIDLANDS CT, WEST COLUMBIA, SC 29169-3456
(803) 794-3581
(803) 791-7286
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
38380
SC
207K00000X
Allergy & Immunology Physician
Primary
MD38380
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
383800
—
SC
01
—
SC62386874
MEDICARE PTAN
SC
Enumeration date
04/15/2010
Last updated
10/31/2023
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