Individual
DR. PATRICIA KOURY RODDEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6060 PIEDMONT ROW DR S FL 6, CHARLOTTE, NC 28287-3884
(704) 495-6334
Mailing address
5960 FAIRVIEW RD STE 500, CHARLOTTE, NC 28210-3113
(704) 495-6334
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35245
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070016265
MEDICARE - RR
NC
05
—
1255352647
—
NC
01
—
72209
BCBS
NC
05
—
8972209
—
NC
05
—
N35245
—
SC
Enumeration date
07/21/2006
Last updated
05/06/2026
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