Individual
RHODY F FAWAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
317 SAINT FRANCIS DR STE 339, GREENVILLE, SC 29601-3965
(864) 335-7555
(833) 459-0877
Mailing address
PO BOX 631341, CINCINNATI, OH 45263-1341
(864) 335-7555
(833) 459-0877
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
19976
OK
207RG0100X
Gastroenterology Physician
Primary
86784
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000097620B
—
OK
01
—
100016186
RAILROAD MEDICARE
—
01
—
347459115
DOL
OK
01
—
7861276
AETNA
OK
Enumeration date
09/19/2005
Last updated
08/08/2022
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