Individual
DR. CARLOS RODRIGUEZ-FEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
778 ATHENS RD, LEXINGTON, GA 30648
(706) 743-5477
(706) 743-3655
Mailing address
4710 OLD LEXINGTON RD, ATHENS, GA 30605-4127
(706) 353-1299
(706) 743-3655
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12478
GA
183500000X
Pharmacist
3333
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12478
STATE LICENSE NUMBER
GA
01
—
3333
STATE LICENSE NUMBER
WV
Enumeration date
12/11/2006
Last updated
07/08/2007
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