Individual
GARY MICHAEL RODBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 6TH AVE W STE A, HENDERSONVILLE, NC 28739
(828) 696-2570
(828) 693-0608
Mailing address
800 N JUSTICE ST # 16, HENDERSONVILLE, NC 28791-3410
(828) 694-8385
(828) 694-7654
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
201501339
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114969
—
MS
01
—
NCP859A
MEDICARE PTAN
NC
Enumeration date
09/16/2006
Last updated
08/03/2023
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