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:
Health care specialties
Specialty | Code | License # | 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 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922691088 | NPPES |
Other | 200761 | THE NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING |
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