Individual
MELODY S RODGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1655 WAKE DR UNIT 101, WAKE FOREST, NC 27587-4746
(919) 556-4779
Mailing address
4 SILVERTON CT, DURHAM, NC 27713-9400
(919) 403-5814
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
300038
NC
Other
Enumeration date
10/19/2006
Last updated
06/07/2013
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