| Rodriguez Md | |
|
771 Old Norcross Rd Terrace Park Medical Center; Suite 120 Lawrenceville GA 30046-4386 | |
| (770) 670-6920 | |
| (770) 670-6927 |
| Full Name | Rodriguez Md |
|---|---|
| Speciality | Family Medicine |
| Location | 771 Old Norcross Rd, Lawrenceville, Georgia |
| Authorized Official Name and Position | Neville Street (MANAGER) |
| Authorized Official Contact | 6508882848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodriguez Md 771 Old Norcross Rd Terrace Park Medical Center; Suite 120 Lawrenceville GA 30046-4386 Ph: (770) 670-6920 | Rodriguez Md 771 Old Norcross Rd Terrace Park Medical Center; Suite 120 Lawrenceville GA 30046-4386 Ph: (770) 670-6920 |
| NPI Number | 1568778306 |
|---|---|
| Provider Enumeration Date | 08/30/2010 |
| Last Update Date | 10/14/2015 |
| Medicare PECOS PAC ID | 4981898640 |
|---|---|
| Medicare Enrollment ID | O20101027000709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568778306 | NPI | - | NPPES |
| 003105719A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Veronica Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649478934 PECOS PAC ID: 3779679824 Enrollment ID: I20090817000086 |
| Provider Name | Deborah Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568674687 PECOS PAC ID: 4385729425 Enrollment ID: I20100324000349 |
| Provider Name | Raquel I Gonzalez Roepke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609214147 PECOS PAC ID: 7618118670 Enrollment ID: I20130802000514 |
| Provider Name | Teresa K George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669602231 PECOS PAC ID: 8729236401 Enrollment ID: I20131218000786 |
| Provider Name | Tabassum Safri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417231457 PECOS PAC ID: 9638338932 Enrollment ID: I20150617000626 |
| Provider Name | Song Y Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568852317 PECOS PAC ID: 3779891973 Enrollment ID: I20151008001369 |
| Provider Name | Natalie Bonilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992250443 PECOS PAC ID: 6800177676 Enrollment ID: I20170110002251 |
| Provider Name | Marie S Lacossiere-charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649843913 PECOS PAC ID: 6305234220 Enrollment ID: I20211026003194 |
Clinica Familiar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 Grayson Hwy, Suite 216, Lawrenceville, GA 30045 Phone: 770-513-7711 Fax: 770-513-3352 | |
Raymond L. Stovall, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 Professional Dr, Suite 150, Lawrenceville, GA 30045 Phone: 678-376-1800 Fax: 678-376-5500 | |
Physicians Pointe Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999 Fax: 770-277-9159 | |
Carehere Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 S Perry St Ste 200, Lawrenceville, GA 30046 Phone: 877-423-1330 | |
Bennett H. Bruckner,m.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 Professional Dr, Suite 290, Lawrenceville, GA 30045 Phone: 770-962-9410 Fax: 770-962-8489 | |
Metabolic Health Of Lawrenceville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 720 Old Snellville Hwy Ste 150, Lawrenceville, GA 30044 Phone: 678-431-1119 | |
Sugarloaf Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4835 Sugarloaf Pkwy, Suite 300, Lawrenceville, GA 30044 Phone: 407-375-5940 Fax: 407-375-5952 |