Individual
DR. ANIELLO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
860 DULUTH HWY, SUITE 100, LAWRENCEVILLE, GA 30043-5326
(678) 205-8808
Mailing address
1000 PEACHTREE INDUSTRIAL BLVD # 6-306, SUWANEE, GA 30024-6737
(678) 205-8808
(678) 205-8818
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO006997
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201464935
TAX ID#
GA
Enumeration date
03/20/2007
Last updated
08/09/2011
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