Doctor Name: | PHILLIP ANDRES RODRIGUEZ |
NPI Number: | 1043658867 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | LL35869 |
Business Practice Address: | 169 Ashley Ave Room 202 Main Hospital Msc333 Charleston, SC - 294258905 |
Business Phone Number: | 8437927108 |
Business Fax Number: | |
Mailing Address: | 169 Ashley Ave, Room 202 Main Hospital Msc333 CHARLESTON |
State: | SC |
Postal Code: | 294258905 |
Phone Number: | 8437927108 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2013 |
NPI Last Update Date: | 06/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | LL35869 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |