Alexander-Rodriguez, Audrey O

Alexander-Rodriguez, Audrey O is an sole proprietor health care provider with primary practice located at 2133 Lawrenceville Suwanee Rd Ste 12-385 , Suwanee GA 30024-2648. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Alexander-Rodriguez, Audrey O can be contacted via phone (404) 375-5393.

Contact Information

Primary practice address
2133 Lawrenceville Suwanee Rd Ste 12-385 Suwanee GA 30024-2648
Phone: (404) 375-5393
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1922691088
LBN Legal business name Alexander-Rodriguez, Audrey O
Credentials CSFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2021
Last updated Apr 19th, 2021 - about 3 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 1922691088 NPPES
Other 200761 THE NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING

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