Individual
MR. ROGER A GADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
880 W MOULTRIE ST, SUITE 200, WINNSBORO, SC 29180-5218
(803) 635-6461
(803) 635-4200
Mailing address
PO BOX 1218, WINNSBORO, SC 29180-5218
(803) 635-6461
(803) 635-4200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8424
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084241
—
SC
Enumeration date
07/26/2006
Last updated
02/27/2015
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