Individual
RODNEY FITZGIBBON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 NE MEDICAL PARK, SUITE 209, COLUMBIA, SC 29223-6251
(803) 736-6262
(803) 699-1934
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12882
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128828
—
SC
Enumeration date
01/27/2006
Last updated
03/16/2018
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