Ivan Regalado Rodriguez
NPI #1639871866 in Fortson, Georgia
Provider Information
- NPI Number
- 1639871866
- Entity Type
- Individual
- Name
- Ivan Regalado Rodriguez
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Mar 21, 2023
- Last Updated
- Oct 12, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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