Individual
DEBORAH RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
771 OLD NORCROSS RD, STE 120, LAWRENCEVILLE, GA 30046-4386
(770) 670-6920
(770) 670-6927
Mailing address
771 OLD NORCROSS RD, STE 120, LAWRENCEVILLE, GA 30046-4386
(770) 670-6920
(770) 670-6927
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
036119225
IL
207Q00000X
Family Medicine Physician
Primary
062599
GA
207Q00000X
Family Medicine Physician
125-048742
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364600697A
—
GA
Enumeration date
05/03/2007
Last updated
10/09/2015
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