Roden, William C

Roden, William C is an individual health care provider with primary practice located at 320 Hospital Rd , Canton GA 30114-2432. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Roden, William C can be contacted via phone (770) 479-5535.

Contact Information

Primary practice address
320 Hospital Rd Canton GA 30114-2432
Phone: (770) 479-5535
Fax: (770) 720-3294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G9796 Texas
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 026179 Georgia

Profile Details

NPI number 1851301972
LBN Legal business name Roden, William C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jan 10th, 2017 - about 9 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 1851301972 NPPES
Georgia MEDICAID 003161066A
Georgia MEDICAID 149600202

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