Individual
JUAN L. RODRIGUEZ-RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1620 MULKEY RD STE 100, AUSTELL, GA 30106-1171
(770) 948-3774
(770) 739-9609
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 421-4489
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
95169
GA
207K00000X
Allergy & Immunology Physician
M1323
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173029301
—
TX
05
—
173029302
—
TX
Enumeration date
08/23/2006
Last updated
11/02/2023
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