Individual
ANDREW ROUDEBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
131 COMMONWEALTH DR STE 100, GREENVILLE, SC 29615-4838
(864) 675-4820
Mailing address
PO BOX 631341, CINCINNATI, OH 45263-1341
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036135207
IL
207Q00000X
Family Medicine Physician
110832
MO
207Q00000X
Family Medicine Physician
87780
SC
Other
Enumeration date
07/04/2005
Last updated
09/18/2024
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