Individual
ANGEL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 ALCORN DR, STE 1A, CORINTH, MS 38834-9071
(662) 665-0605
Mailing address
P O BOX 3488, DEPT 05-061, CORINTH, MS 38803-3488
(662) 665-0457
(662) 665-0458
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
11295
MS
207L00000X
Anesthesiology Physician
Primary
11295
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015456
—
MS
Enumeration date
11/09/2005
Last updated
11/28/2017
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