Individual
RODRIGO MIGUEL PEREZ MACEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 FOREST DR STE 300, COLUMBIA, SC 29204-4057
(803) 749-5101
(803) 933-3045
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
87303
SC
Other
Enumeration date
04/01/2019
Last updated
03/11/2024
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