Rodriguez, Jorge O

Rodriguez, Jorge O is an individual health care provider with primary practice located at 4441 Atlanta Rd Se Ste 107 , Smyrna GA 30080-6431. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Rodriguez, Jorge O can be contacted via phone (470) 956-0330.

Contact Information

Primary practice address
4441 Atlanta Rd Se Ste 107 Smyrna GA 30080-6431
Phone: (470) 956-0330
Fax: (678) 842-5525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0096-01707 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-5890 Arkansas
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 0096-01707 North Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X E-5890 Arkansas
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 63947 Georgia

Profile Details

NPI number 1821035429
LBN Legal business name Rodriguez, Jorge O
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Sep 26th, 2019 - about 5 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 1821035429 NPPES
Arkansas MEDICAID 174644003
Arkansas Other 1021W

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