Individual
JORGE ALAIN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
2574 FRAYSER BLVD, MEMPHIS, TN 38127-5829
(901) 271-9500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44204
KY
207R00000X
Internal Medicine Physician
Primary
49589
TN
207R00000X
Internal Medicine Physician
R1758
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1531032
—
TN
Enumeration date
12/09/2008
Last updated
04/11/2024
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