Etienne J Rodriguez (NPI# 1679709539, PAC ID# 1557527876) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1679709539 |
| PAC ID by PECOS | 1557527876 |
| Professional Enrollment ID | I20120731000471 |
| Full Name | Etienne J Rodriguez |
| Organization Legal Name | DUNWOODY VILLAGE CLINIC, PC |
| Address |
5471 Chamblee Dunwoody Rd Dunwoody GA 30338-4114 |
| Phone Number | 7704810889 |
| Gender | M |
| Medical School | PONCE SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 8022061639 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5471 Chamblee Dunwoody Rd, Dunwoody, GA 30338-4114 | 7704810889 | DUNWOODY VILLAGE CLINIC, PC |
| Organization Legal Name | DUNWOODY VILLAGE CLINIC, PC |
| Physicians | 1 |
| Street Address |
5471 CHAMBLEE DUNWOODY RD |
| City | DUNWOODY |
| State | GA |
| Zip | 30338-4114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James J Kinahan | Internal Medicine | 5471 Chamblee Dunwoody Rd, Dunwoody, GA 30338-4114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew G Spell | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 1552 Summerset Dr, Dunwoody, GA 30338-2810 |
| Michael L Cobb | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 1552 Summerset Dr, Atlanta, GA 30338-2810 |
| Robert Jeremy Kirschner | Physical Therapy | Phoenix Rehabilitation and Health Services of Georgia LLC | 2458 Jett Ferry Rd, Suite 230, Dunwoody, GA 30338-3060 |
| Bradley J Anchors | Chiropractic | 2498 Jett Ferry Rd, Suite 100, Dunwoody, GA 30338-3062 | |
| Jacob W Wilson | Chiropractic | 2494 Jett Ferry Rd, Suite 103, Dunwoody, GA 30338-3090 | |
| Albert F Johary | Internal Medicine | 1320 Ctr Dr, Suite 100, Dunwoody, GA 30338-4130 | |
| Eileen C Lau | Physician Assistant | Albert F.johary Md, PC | 1320 Ctr Dr, Suite 100, Dunwoody, GA 30338-4130 |
| Nicholas Roy Frady | Physical Therapy | Independent Physical Therapy of Ga, LLC | 5500 Chamblee Dunwoody Rd, Atlanta, GA 30338-4162 |
| James Judson Briggs | Optometry | Briggs Vision Group, P.C. | 1637 Mt Vernon Rd, Suite 100, Dunwoody, GA 30338-4205 |
| Christal Sellers | Optometry | Briggs Vision Group, P.C. | 1637 Mt Vernon Rd, Suite 100, Dunwoody, GA 30338-4205 |
| Find all physicians in zip 30338 | |||
| City | DUNWOODY |
| Zip Code | 30338 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | DUNWOODY + FAMILY PRACTICE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.