Individual
MR. RICHARD BRENT RODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E WOOD ST, EMERGENCY CENTER, SPARTANBURG, SC 29303-3040
(864) 360-6000
(864) 560-7520
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
04-27131
KS
207P00000X
Emergency Medicine Physician
Primary
29306
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100298120F
—
KS
01
—
191231
MEDCOST
SC
01
—
20056298
SELECT HEALTH CHOICE
SC
05
—
293060
—
SC
01
—
5665765
AETNA
SC
05
—
5905735
—
NC
Enumeration date
06/02/2006
Last updated
01/23/2009
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