Individual
ANGIE M. RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1404 RIVER PL STE 201, BRASELTON, GA 30517-5600
(770) 219-4000
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008618
GA
Other
Enumeration date
11/03/2017
Last updated
05/30/2024
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