Individual
STEPHANIE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
169 ASHLEY AVE # MSC333, CHARLESTON, SC 29425-8905
(843) 792-2575
Mailing address
169 ASHLEY AVE # MSC333, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
LL88311
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2022
Last updated
06/24/2022
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