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NPI Code Detail

MEDICARE: DR. RICHARD D RHODES DO

MEDICARE: DR. RICHARD D RHODES DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician347SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215994108
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD D RHODES DO
Provider Business Mailing Address
First Line : 1818 HENDERSON ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2647
Country : US
Telephone Number : 803-758-2600
Fax Number :
Provider Business Practice Location Address
First Line : 8091 RIVERS AVE
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9236
Country : US
Telephone Number : 843-572-7000
Fax Number : 843-572-4070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 09/16/2009

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Directions to “ DR. RICHARD D RHODES DO” Practice Location

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