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Individual

DR. RODNEY GEORGE SOUTHERN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
109 BROADBENT WAY, ANDERSON, SC 29625-1521
(864) 332-1400
(864) 332-1472
Mailing address
109 BROADBENT WAY, ANDERSON, SC 29625-1521
(864) 332-1400
(864) 332-1472

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0649
SC
1223E0200X
Endodontics
3645/26
WV

Other

Enumeration date
01/28/2007
Last updated
07/12/2012
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