RODRIGUEZ MD LLC NPI 1568778306

NPI Information

RODRIGUEZ MD, LLC is a family medicine in Lawrenceville, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RODRIGUEZ MD, LLC NPI is 1568778306. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Rodriguez Md.

The provider's business location address is:

771 OLD NORCROSS RD
TERRACE PARK MEDICAL CENTER; SUITE 120
LAWRENCEVILLE, GA
ZIP 30046-386
Phone: (770) 670-6920
Fax: (770) 670-6927

The provider's authorized official is Neville Street .
The authorized official title is Manager and has the following contact phone number (650) 888-2848.

The CLIA number assigned to this NPI record is 11D2014967 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2010 and was last updated on 10/14/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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