Brodie, Rory S.

Brodie, Rory S. is an individual health care provider with primary practice located at 5070 International Blvd Ste 131 , N Charleston SC 29418-6007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brodie, Rory S. can be contacted via phone (843) 763-7906.

Contact Information

Primary practice address
5070 International Blvd Ste 131 N Charleston SC 29418-6007
Fax: (843) 740-9039
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18520 South Carolina

Profile Details

NPI number 1538597455
LBN Legal business name Brodie, Rory S.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2013
Last updated Mar 17th, 2018 - about 8 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 1538597455 NPPES
South Carolina MEDICAID NP2600

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