Most Relevant Information
Provider Data
| NPI Number: | 1003367541 |
| Provider Name: | MARIAH LEIGH RODRIGUEZ PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 0010-07406 |
Most Important Dates
| Enumeration Date: | 10/19/2016 |
| Last Updated: | 05/08/2024 |
Provider Practice Location
11840 SOUTHMORE DR STE 100
CHARLOTTE
NC
282774821
Practice Location Phone/Fax
| Phone: | 9803080169 |
| Fax: | 9803080173 |
Provider Mailing Location
PO BOX 601843
CHARLOTTE
NC
282601843
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |