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Individual

DR. LUIS ERNESTO RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 ACADEMY ST S, AHOSKIE, NC 27910-3248
(252) 209-3148
(252) 209-3146
Mailing address
PO BOX 1385, AHOSKIE, NC 27910-1385
(252) 209-3148
(252) 209-3146

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
200001617
NC
207R00000X
Internal Medicine Physician
2000-01617
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13087
BCBS OF NC
NC
01
70176
MEDCOST
NC
05
8913087
NC
Enumeration date
03/20/2006
Last updated
10/12/2007
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