Individual
RODD LEIGHTON CASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
2755 S HIGHWAY 14 STE 1200L, GREER, SC 29650-4902
(864) 849-9150
(864) 849-9394
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1281
MA
363A00000X
Physician Assistant
Primary
5181
SC
363A00000X
Physician Assistant
PA 00254
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05 0501339
HEALTHCARE VALUE MANAG
—
01
—
1156
NEIGHBORHOOD HEALTH PLAN
—
01
—
12266RIH
HARVARD PILGRIM
—
01
—
1281
LICENCE
MA
01
—
23281 0
BLUE CROSS
RI
01
—
24192
CONTROLLED SUBSTANCE
RI
01
—
408400
BLUE CHIP
—
05
—
6807PA
—
SC
01
—
720118301
CIGNA
—
01
—
9023281
EDS OF RI INDIV
—
01
—
MC0437550J
CONTROLLED SUBSTANCE
MA
01
—
NS34351
EDS OF RI GROUP
—
01
—
PA00254
LICENCE
RI
01
—
SCS5777628
MEDICARE PIN
SC
Enumeration date
12/09/2005
Last updated
04/29/2024
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