Individual
MR. RODNEY DARRELL LOCKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 ZULU DR, HUGER, SC 29450-9455
(843) 860-7325
Mailing address
109 ZULU DR, HUGER, SC 29450-9455
(843) 860-7325
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
CA007999
SC
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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