Individual
DR. RODDERRICK PREACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2022 NAPA VALLEY DR, WAXHAW, NC 28173-0319
(980) 939-9479
Mailing address
2022 NAPA VALLEY DR, WAXHAW, NC 28173-0319
(980) 939-9479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
283158
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
30912
SC
367500000X
Certified Registered Nurse Anesthetist
8011
NC
Other
Enumeration date
04/21/2023
Last updated
11/26/2025
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