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Individual

MRS. MINERVA RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP WHNP C

Contact information

Practice address
1061 HARMON AVE, SUITE 1 D03, FORT STEWART, GA 31314-5641
(803) 528-5728
(912) 727-4465
Mailing address
1061 HARMON AVE, SUITE 1 D03, FORT STEWART, GA 31314-5641
(803) 528-5728
(912) 727-4465

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
3002484
KY
363LW0102X
Women's Health Nurse Practitioner
Primary
3002484
KY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
3002484
KY

Other

Enumeration date
02/23/2006
Last updated
08/13/2014
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