Individual
RODERICK A SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
128 EARL CLARK DR, FLORENCE, MS 39073-6604
(601) 891-8465
(601) 891-8468
Mailing address
PO BOX 1188, FLORENCE, MS 39073-1188
(601) 891-8465
(601) 891-8468
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12884
MS
Other
Enumeration date
05/19/2006
Last updated
07/06/2010
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