Individual
JOHN D ROZICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 E HOSPITAL ST, MANNING, SC 29102-3152
(803) 883-5171
(038) 435-5288
Mailing address
10 E HOSPITAL ST, MANNING, SC 29102-3153
(803) 435-5248
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
13250
SC
207RC0000X
Cardiovascular Disease Physician
42272
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132500
—
SC
05
—
32648200
—
WI
01
—
SC45949988
MEDICARE
SC
01
—
SC4594F935
MEDICARE
SC
Enumeration date
03/31/2006
Last updated
08/01/2023
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