Healthcare Provider Details

I. General information

NPI: 1982797536
Provider Name (Legal Business Name): RODNEY SCOTT WHITBY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1323 EAST WOOD STREET
PARIS TN
38242-4421
US

IV. Provider business mailing address

1323 EAST WOOD STREET
PARIS TN
38242-4421
US

V. Phone/Fax

Practice location:
  • Phone: 731-642-2011
  • Fax: 731-644-2758
Mailing address:
  • Phone: 731-642-2011
  • Fax: 731-644-2758

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD24759
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD24759
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: