Individual
DR. RODNEY G SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1210 W FARIS RD, GREENVILLE, SC 29605-4444
(864) 522-1800
(864) 522-1806
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
91698
SC
2085R0202X
Diagnostic Radiology Physician
24865
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200081630A
—
OK
01
—
242620601
MEDICARE
OK
01
—
242620602
MEDICARE
OK
01
—
P00345049
RAILROAD MEDICARE
OK
Enumeration date
06/06/2006
Last updated
06/04/2024
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