Individual
KATHERINE ANN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
169 ASHLEY AVE # 333, CHARLESTON, SC 29425-9698
(843) 876-8023
Mailing address
169 ASHLEY AVE # MSC300, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
LL90367
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/14/2022
Last updated
07/03/2023
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