Provider Demographics
NPI:1033280656
Name:ROJAS, EDUARDO L (MD)
Entity Type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:L
Last Name:ROJAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:EDWARD
Other - Middle Name:
Other - Last Name:ROJAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 879
Mailing Address - Street 2:
Mailing Address - City:CALHOUN
Mailing Address - State:GA
Mailing Address - Zip Code:30703-0879
Mailing Address - Country:US
Mailing Address - Phone:678-986-6073
Mailing Address - Fax:706-629-3846
Practice Address - Street 1:360 CUMBERLAND DR NE
Practice Address - Street 2:
Practice Address - City:CALHOUN
Practice Address - State:GA
Practice Address - Zip Code:30701-4727
Practice Address - Country:US
Practice Address - Phone:678-986-6073
Practice Address - Fax:706-629-3846
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0303702088P0231X
KY495682088P0231X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000358531AMedicaid
GA343217OtherWELL CARE
GA10064319OtherAMERIGROUP
GA11D0881495OtherTAXONOMY
GA34BDDHPMedicare ID - Type Unspecified
GA343217OtherWELL CARE