Individual
MR. FRED HENRY RODRIGUEZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2174 NORTH DRUID HILLS RD NE, STE 630, ATLANTA, GA 30322-5510
(404) 256-2593
(770) 488-9408
Mailing address
2970 BRANDYWINE RD STE 125, ATLANTA, GA 30341-5521
(404) 256-2593
(770) 488-9408
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
68291
GA
2080P0202X
Pediatric Cardiology Physician
Primary
068291
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1078373
—
LA
05
—
220263201
—
TX
Enumeration date
06/29/2007
Last updated
04/30/2026
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