Individual
MR. ROBERT MICHAEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1773 VILLAGE PARK DR, ORANGEBURG, SC 29118-2475
(803) 535-3600
Mailing address
119 MARSHSIDE DR, SUMMERVILLE, SC 29485-6254
(410) 913-2894
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
28254
SC
Other
Enumeration date
04/19/2021
Last updated
10/17/2024
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