Individual
RODERICK TAYLOR DIPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
955 RIBAUT RD, BEAUFORT, SC 29902-5441
(843) 522-5005
(843) 522-5017
Mailing address
P.O. BOX 403631, ATLANTA, GA 30284-3631
(770) 740-0895
(770) 740-0896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17989
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T19584
—
SC
Enumeration date
05/26/2006
Last updated
01/30/2014
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