Southern, Rodney George
Southern, Rodney George is an sole proprietor health care provider with primary practice located at 109 Broadbent Way , Anderson SC 29625-1521. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Southern, Rodney George can be contacted via phone (864) 332-1400.Contact Information
Primary practice address
109 Broadbent Way
Anderson SC 29625-1521
Phone: (864) 332-1400
Fax: (864) 332-1472
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 0649 | South Carolina |
| Dental Providers / Endodontics | 1223E0200X | 3645/26 | West Virginia |
Profile Details
| NPI number | 1497801674 |
|---|---|
| LBN Legal business name | Southern, Rodney George |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2007 |
| Last updated | Jul 12th, 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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