Jim Roderique, M.D

NPI 1205857307 · on the registry since 2006 · sole proprietor

Practice

Address: 955 Spring St Nw
Atlanta, GA 30309
Phone: (404) 872-4263
Fax: (404) 873-2455
Organisation at this address: Jim W. Roderique, M.D., P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 207XS0106X
207XS0106X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia