NPI 1003367541

Mariah Leigh Rodriguez, PA

Practitioner Physician Assistant Charlotte, NC

Practice location

Address: 11840 Southmore Dr STE 100, Charlotte, NC 28277-4821
Phone: (980) 308-0169
Fax: (980) 308-0173
Mailing address: PO Box 601843, Charlotte, NC 28260-1843

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 0010-07406 (NC)

Other Physician Assistant providers in North Carolina →

Registry record

NPI: 1003367541
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Oct 2016
Record last updated: 8 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.