Individual
ELIAS GREGORY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1234 HUFFMAN MILL RD, BURLINGTON, NC 27215-8700
(336) 538-1234
Mailing address
2007 MCGREGOR RD, MEBANE, NC 27302-7725
(615) 364-6238
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5019939
NC
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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