Young, Rodney Bert

Young, Rodney Bert is an individual health care provider with primary practice located at 2801 Tricom St , North Charleston SC 29406-9172. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Young, Rodney Bert can be contacted via phone (843) 797-5252.

Contact Information

Primary practice address
2801 Tricom St North Charleston SC 29406-9172
Phone: (843) 797-5252
Fax: (843) 797-3683
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 11077 South Carolina

Profile Details

NPI number 1083663371
LBN Legal business name Young, Rodney Bert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Feb 7th, 2008 - about 17 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 1083663371 NPPES
South Carolina MEDICAID 110775

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