Healthcare Provider Details

I. General information

NPI: 1558314476
Provider Name (Legal Business Name): RODNEY KEVIN SESSOMS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 12/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 BEAMAN ST
CLINTON NC
28328-2602
US

IV. Provider business mailing address

500 BEAMAN ST
CLINTON NC
28328-2602
US

V. Phone/Fax

Practice location:
  • Phone: 910-596-2800
  • Fax:
Mailing address:
  • Phone: 910-292-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number33927
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number8975253
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number8975253
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: