Individual
MRS. INGRID ROSE JOHNSON RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
851 OLD WINSTON RD SUITE 105, PIEDMONT CHIROPRACTIC CENTER, KERNERSVILLE, NC 27284
(336) 993-9690
(336) 993-9692
Mailing address
PO BOX 19364, GREENSBORO, NC 27419
(336) 392-2633
(336) 856-7296
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2778
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2024753
1ST HEALTH NETWORK
NC
01
—
645599
AEN UHC
NC
05
—
890845A
—
NC
01
—
9156656
PHCS
NC
Enumeration date
11/16/2006
Last updated
07/08/2007
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