Leacock, Rodney Owen

Leacock, Rodney Owen is an individual health care provider with primary practice located at 3 Richland Medical Park Dr Ste 310 , Columbia SC 29203-6862. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Vascular Neurology is his primary health care specialty. Leacock, Rodney Owen can be contacted via phone (803) 434-8323.

Contact Information

Primary practice address
3 Richland Medical Park Dr Ste 310 Columbia SC 29203-6862
Phone: (803) 434-8323
Fax: (803) 296-8326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 200300373 North Carolina
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 35018 South Carolina

Profile Details

NPI number 1356436703
LBN Legal business name Leacock, Rodney Owen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Sep 26th, 2018 - about 7 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 1356436703 NPPES
South Carolina MEDICAID Q73003
South Carolina MEDICAID 89134XV

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