Individual
JOHN ROCCO MACMILLAN RODNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3030 COVINGTON PIKE, MEMPHIS, TN 38128-5048
(901) 383-8889
(901) 384-6309
Mailing address
3030 COVINGTON PIKE, MEMPHIS, TN 38128-5048
(901) 383-8889
(901) 384-6309
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
45956
TN
207P00000X
Emergency Medicine Physician
N4707
TX
207Q00000X
Family Medicine Physician
45956
TN
207Q00000X
Family Medicine Physician
56738
KY
207Q00000X
Family Medicine Physician
N4707
TX
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
45956
TN
208D00000X
General Practice Physician
45956
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521174
—
TN
05
—
210899503
—
TX
05
—
30013675
—
IN
01
—
8DE870
BCBS
TX
01
—
N4707
LICENSE
TX
Enumeration date
09/16/2008
Last updated
03/25/2026
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