Individual
VICTORIA RODRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2629
(706) 722-9011
Mailing address
4403 PEREGRINE PL, MARTINEZ, GA 30907-7101
(706) 955-3799
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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