Cody, Rebecca Diane

Cody, Rebecca Diane is an individual health care provider with primary practice located at 8121 Rourk St , Myrtle Beach SC 29572-4128. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Cody, Rebecca Diane can be contacted via phone (843) 692-5000.

Contact Information

Primary practice address
8121 Rourk St Myrtle Beach SC 29572-4128
Phone: (843) 692-5000
Fax: (843) 692-5015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 22443 South Carolina
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 200100855 North Carolina

Profile Details

NPI number 1265425763
LBN Legal business name Cody, Rebecca Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Jun 14th, 2012 - about 14 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 1265425763 NPPES
North Carolina MEDICAID 89064HW
North Carolina MEDICAID T67291

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