Rodriguez Garcia, Grettel

Rodriguez Garcia, Grettel is an sole proprietor health care provider with primary practice located at 31 Woodstone Dr , Hattiesburg MS 39402-8396. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Hospitals / General Acute Care Hospital, Allopathic & Osteopathic Physicians / Obesity Medicine. Allopathic & Osteopathic Physicians / Obesity Medicine is her primary health care specialty. Rodriguez Garcia, Grettel can be contacted via phone (347) 342-2441.

Contact Information

Primary practice address
31 Woodstone Dr Hattiesburg MS 39402-8396
Phone: (347) 342-2441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23695 Mississippi
Hospitals / General Acute Care Hospital 282N00000X
Allopathic & Osteopathic Physicians / Obesity Medicine 207RB0002X 23695 Mississippi

Profile Details

NPI number 1063836005
LBN Legal business name Rodriguez Garcia, Grettel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2014
Last updated Jun 29th, 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 1063836005 NPPES
Mississippi MEDICAID 09036365

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