Mr. Fred Henry Rodriguez III
Pediatric Cardiologist
1405 Clifton Rd Ne
Atlanta
, Georgia 30322-5510
Mr. Fred Henry Rodriguez III
Pediatric Cardiologist
1405 Clifton Rd Ne
Atlanta
, Georgia 30322-5510
(770) 488-9408
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About
Features
Specialties
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Mr. Fred Henry Rodriguez III
- 2835 Brandywine Rd Suite 300
- Atlanta, GA
- Zip : 30341-5510
- Fax : (770) 488-9408
- Phone : (404) 256-2593
Second Address
- Mr. Fred Henry Rodriguez III
- 1405 Clifton Rd Ne
- Atlanta, GA
- Zip : 30322-5510
- Fax : (770) 488-9408
- Phone : (404) 256-2593
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0202X | Pediatric Cardiologist | 068291 | GA |
National Provider Identifier
| NPI | 1235336538 |
|---|---|
| Provider Name | Mr. Fred Henry Rodriguez III |
| First Address | Atlanta, GA 30341-5510 |
| Second Address | Atlanta, GA 30322-5510 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2007 |
| Last Update Date | 25/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1078373 | (05) | LA |
| 220263201 | (05) | TX |
| B61338 | (02) | LA |
| TXB129708 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.