Individual
DESIREE MAIREEN RODRIGUEZ ESPADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(787) 529-7379
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
009034
GA
Other
Enumeration date
05/22/2017
Last updated
05/25/2020
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