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NPI Code Detail

MEDICARE: DR. SIDNEY F RHOADES MD

MEDICARE:  DR. SIDNEY F RHOADES  MD
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
1207R00000XInternal Medicine PhysicianTL29351SC
2207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician29351SC
3208M00000XHospitalist Physician29351SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4P00688370OTHERSCRAIL ROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
27336946OTHERSCAETNA
34350563OTHERSCCIGNA
520056155OTHERSCFIRST CHOICE

General Provider Information

NPI Number : 1497852651
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SIDNEY F RHOADES MD
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-522-8611
Fax Number :
Provider Business Practice Location Address
First Line : 1330 TAYLOR ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2915
Country : US
Telephone Number : 803-434-6771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 08/04/2025

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Directions to “ DR. SIDNEY F RHOADES MD” Practice Location

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