Individual
AMY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 VILCOM CENTER DR, SUITE 110, CHAPEL HILL, NC 27514-1689
(919) 929-7990
Mailing address
701 COPPERLINE DR, UNIT 207, CHAPEL HILL, NC 27516-4484
(910) 988-0535
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06578
NC
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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