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NPI Code Detail

MEDICARE: MR. ROBERT WILLIAM TODD MD

MEDICARE: MR. ROBERT WILLIAM TODD 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
1207Q00000XFamily Medicine Physician11468SC
2207QH0002XHospice and Palliative Medicine (Family Medicine) Physician11468SC

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 : 1740283399
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT WILLIAM TODD MD
Provider Business Mailing Address
First Line : 408 W ALEXANDER AVE
Second Line :
City : GREENWOOD
State : SC
Zip : 29646-4031
Country : US
Telephone Number : 864-227-9393
Fax Number : 864-227-9377
Provider Business Practice Location Address
First Line : 408 W ALEXANDER AVE
Second Line :
City : GREENWOOD
State : SC
Zip : 29646-4031
Country : US
Telephone Number : 864-227-9393
Fax Number : 864-227-9377
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 01/15/2019

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