Rodwell, Jason

Rodwell, Jason is an individual health care provider with primary practice located at 1200 Memorial Dr , Dalton GA 30720-2529. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Rodwell, Jason can be contacted via phone (706) 272-6000.

Contact Information

Primary practice address
1200 Memorial Dr Dalton GA 30720-2529
Phone: (706) 272-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004881 Georgia

Profile Details

NPI number 1528168408
LBN Legal business name Rodwell, Jason
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Mar 7th, 2008 - about 18 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 1528168408 NPPES
Georgia MEDICAID 256378633B
Georgia Other P00360970
Georgia MEDICAID 256378633A

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