Individual
MS. TAMMY BERNICE RODRIGUEZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
700 W MARKET ST, ATHENS, AL 35611-2457
(256) 233-9292
(256) 233-9292
Mailing address
PO BOX 999, ATHENS, AL 35612-0999
(256) 233-9292
(256) 233-9272
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-106400
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51532658
BCBS
AL
Enumeration date
05/18/2006
Last updated
07/08/2007
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