Individual
REBECCA DIANE CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8121 ROURK ST, MYRTLE BEACH, SC 29572-4128
(843) 692-5000
(843) 692-5015
Mailing address
8121 ROURK ST, MYRTLE BEACH, SC 29572-4128
(843) 692-5000
(843) 692-5015
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
200100855
NC
207RH0003X
Hematology & Oncology Physician
Primary
22443
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89064HW
—
NC
05
—
T67291
—
SC
Enumeration date
08/30/2005
Last updated
06/14/2012
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