Fitzgibbon, Rodney

Fitzgibbon, Rodney is an individual health care provider with primary practice located at 3000 Ne Medical Park Suite 209, Columbia SC 29223-6251. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fitzgibbon, Rodney can be contacted via phone (803) 736-6262.

Contact Information

Primary practice address
3000 Ne Medical Park Suite 209 Columbia SC 29223-6251
Fax: (803) 699-1934
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12882 South Carolina

Profile Details

NPI number 1821069113
LBN Legal business name Fitzgibbon, Rodney
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Mar 16th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821069113 NPPES
South Carolina MEDICAID 128828

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