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Contact Information

PEDRO A RODRIGUEZ, PA-C
2100 US-61
VICKSBURG, MS39183
 Phone: 601-883-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for PEDRO A RODRIGUEZ · (Male)

NPI Number 1386456499
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/24/2025
Last updated 04/22/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MS License # PA00888
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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