Individual
RODERICK GIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 CLUB DRIVE, NATCHEZ, MS 39120
(601) 597-7899
(601) 446-9683
Mailing address
4 CLUB DRIVE, NATCHEZ, MS 39120
(601) 597-7899
(601) 446-9683
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
14914
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117509
—
MS
Enumeration date
12/13/2006
Last updated
05/28/2008
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