Individual
LUIS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST # BA8412, AUGUSTA, GA 30912-0004
(706) 721-8623
Mailing address
817 MAYO LN, AUGUSTA, GA 30907-9292
(229) 251-5366
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
15270
GA
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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