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
Phone: (803) 736-6262
Fax: (803) 699-1934
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821069113 | NPPES |
South Carolina | MEDICAID | 128828 |
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