Individual
MARY ANNE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2859 HIGHWAY 45 BYP, JACKSON, TN 38305-3618
(731) 660-8360
(731) 660-8377
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 423-8697
(731) 422-5743
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD29719
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38145101
—
TN
Enumeration date
07/04/2006
Last updated
06/08/2016
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