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Individual

DR. MARILYN ANNE RODERICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M,D,

Contact information

Practice address
15 HILL PLZ, SUITE A, WHITEVILLE, NC 28472-4950
(910) 207-6440
(910) 207-6444
Mailing address
60 COMMERCE PLAZA CIR, PEMBROKE, NC 28372-7386
(910) 521-2900
(910) 775-9165

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
200401311
NC
208D00000X
General Practice Physician
G-53149
CA
208D00000X
General Practice Physician
MD-11467
HI

Other

Enumeration date
05/18/2009
Last updated
05/29/2015
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