Individual
IRANDATHY RODRIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2522 CRUSE RD, STE. C-2, LAWRENCEVILLE, GA 30044-2750
(678) 225-5540
(678) 225-5541
Mailing address
2522 CRUSE RD, STE. C-2, LAWRENCEVILLE, GA 30044-2750
(678) 225-5540
(678) 225-5541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042715
GA
Other
Enumeration date
03/20/2006
Last updated
10/19/2007
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