Rodriguez, Deborah

Rodriguez, Deborah is an individual health care provider with primary practice located at 771 Old Norcross Rd Ste 120, Lawrenceville GA 30046-4386. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Emergency Medical Service Providers / Personal Emergency Response Attendant. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Rodriguez, Deborah can be contacted via phone (770) 670-6920.

Contact Information

Primary practice address
771 Old Norcross Rd Ste 120 Lawrenceville GA 30046-4386
Phone: (770) 670-6920
Fax: (770) 670-6927
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 062599 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 125-048742 Illinois
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X 036119225 Illinois

Profile Details

NPI number 1568674687
LBN Legal business name Rodriguez, Deborah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Oct 9th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568674687 NPPES
Georgia MEDICAID 364600697A

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