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Individual

AUDREY O ALEXANDER-RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSFA

Contact information

Practice address
2133 LAWRENCEVILLE SUWANEE RD STE 12-385, SUWANEE, GA 30024-2648
(404) 375-5393
Mailing address
195 MAYFIELD FARMS DR, LAWRENCEVILLE, GA 30043-6160
(404) 375-5393

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
GA
246ZC0007X
Surgical Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200761
THE NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING
Enumeration date
02/18/2021
Last updated
12/09/2024
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